HOLLY THOMPSON FNP-C
NPI 1558837823
Nurse Practitioner - Family in Jacksonville, TX

Active since October 15, 2018PECOS Enrolled
2114 E RUSK ST, JACKSONVILLE, TX 75766(903) 339-3022 Get Directions Write a Review

NPPES record last updated: October 15, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Holly Thompson Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY THOMPSON FNP-C (NPI 1558837823) is an individual family provider in Jacksonville, Texas, licensed in Texas (AP139276) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558837823
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLY THOMPSONCredential: FNP-C
Location Address2114 E RUSK STJacksonville, TX 75766-9052
Mailing Address722 S Bolton StJacksonville, TX 75766-2902 · (903) 253-8008
Sole ProprietorNo
Enumeration DateOctober 15, 2018
✔ NPI 1558837823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP139276
2114 E RUSK ST, Jacksonville, TX 75766

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Thompson Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Holly Thompson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Family Medicine
2114 E RUSK ST
Jacksonville, TX 75766
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
Urgent Care
2116 E RUSK ST
Jacksonville, TX 75766
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
Community Health
5803 STONERIDGE DR
Texarkana, TX 75503
  • Reassigned Medicare billing, Texas enrollment
  • 124 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75766 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
2 suppliers16 claims16 services$223.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2114 E RUSK ST
JACKSONVILLE, TX 75766
Nurse Practitioner (Family)
2114 E RUSK ST
JACKSONVILLE, TX 75766
Family Medicine
2114 E RUSK ST
JACKSONVILLE, TX 75766

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Thompson's NPI number?

The NPI number for Holly Thompson is 1558837823. It was assigned to this individual provider in the NPPES registry on October 15, 2018.

Where is Holly Thompson located?

Holly Thompson practices at 2114 E Rusk St, Jacksonville, TX 75766. The listed phone number is (903) 339-3022.

What is Holly Thompson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Holly Thompson enrolled in Medicare?

Yes. Holly Thompson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Holly Thompson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Thompson reassigns Medicare benefits to 3 organizations: Ault Mcinnis PLLC (Jacksonville, TX), Family First Urgent Care PLLC (Jacksonville, TX) and Pallicare, Inc (Texarkana, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Thompson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Holly Thompson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holly Thompson was last updated on October 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.