CARLY ELIZABETH THOMPSON
NPI 1700492683
Nurse Practitioner - Family in Grand Rapids, MI

Q: What is Carly Thompson's NPI number?

The NPI number for Carly Thompson is 1700492683. It was assigned to this individual provider in the NPPES registry on September 16, 2020.

Q: What is Carly Thompson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carly Thompson was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 16, 2020PECOS Enrolled

3322 E BELTLINE CT NE, GRAND RAPIDS, MI 49525(616) 226-2669 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Carly Elizabeth Thompson NPPES

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

CARLY ELIZABETH THOMPSON (NPI 1700492683) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704298713) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700492683

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCARLY ELIZABETH THOMPSON

Location Address3322 E BELTLINE CT NEGrand Rapids, MI 49525-9480

Mailing Address2455 Springside DrLowell, MI 49331-8957 · (517) 582-2336

Phone(616) 226-2669

Sole ProprietorNo

Enumeration DateSeptember 16, 2020

NPPES CertifiedSeptember 16, 2020

✔ NPI 1700492683 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 MI · 4704298713

3322 E BELTLINE CT NE, Grand Rapids, MI 49525

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Elizabeth Thompson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 12

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

MICHIGAN MEDICAL PATIENT CARE

Psychiatry & Neurology (Neurology)