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NICOLE JANE THOMPSON PMHNP-BC,LCSW, LICSW
NPI 1588824478
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Active since June 13, 2008PECOS EnrolledAccepts Medicare Assignment
8430 MEDICAL PLAZA DR STE 300, CHARLOTTE, NC 28262(704) 910-6142(980) 422-0106 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 7, 2025, Mar 23, 2016 (2 updates tracked since 2016).

About Nicole Jane Thompson Pmhnp-bc,lcsw, Licsw NPPES

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

NICOLE JANE THOMPSON PMHNP-BC,LCSW, LICSW (NPI 1588824478) is an individual psychiatric/mental health provider in Charlotte, North Carolina, licensed in North Carolina (5018004) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1588824478
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE JANE THOMPSONCredential: PMHNP-BC,LCSW, LICSW
Location Address8430 MEDICAL PLAZA DR STE 300Charlotte, NC 28262-9758
Mailing Address1914 J N Pease PlCharlotte, NC 28262-4504 · (704) 754-8718 · Fax (704) 803-5923
Phone(704) 910-6142
Fax(980) 422-0106
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 13, 2008
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1588824478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 5018004
Also ListedSocial WorkerTaxonomy 104100000X · License 076873 (NY)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License SW11908 (FL), 114912 (MA), 53948 (TX), C013102 (NC)
8430 MEDICAL PLAZA DR STE 300, Charlotte, NC 28262
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Jane Thompson Pmhnp-bc,lcsw, Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052453529
PECOS Enrollment IDI20231013000233
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 Reassignment

Medicare enrollment records show Nicole Thompson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Mentality PLLC
7.8 mi
Psychiatric/Mental Health
1914 J N PEASE PL
Charlotte, NC 28262
  • Reassigned Medicare billing, North Carolina enrollment
  • 6 clinicians in this Medicare group
NPI 1215617709 (704) 754-8718

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 28262 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES

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

INTEGRATED BEHAVIORAL HEALTH MANAGEMENT
Nurse Practitioner (Psychiatric/Mental Health)
8430 MEDICAL PLAZA DR STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 910-6142

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 Nicole Thompson's NPI number?

The NPI number for Nicole Thompson is 1588824478. It was assigned to this individual provider in the NPPES registry on June 13, 2008.

Where is Nicole Thompson located?

Nicole Thompson practices at 8430 Medical Plaza Dr Ste 300, Charlotte, NC 28262. The listed phone number is (704) 910-6142.

What is Nicole Thompson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nicole Thompson enrolled in Medicare?

Yes. Nicole Thompson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicole Thompson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Thompson reassigns Medicare benefits to Southern Mentality PLLC (Charlotte, NC). The 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 Nicole Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Thompson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Nicole 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 Nicole Thompson was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.