CARLY ELIZABETH THOMPSON
NPI 1700492683
Nurse Practitioner - Family in Grand Rapids, MI
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 has opted out of Medicare through July 8, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Carly Elizabeth Thompson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 8, 2024 through July 8, 2028.
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.
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.
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
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 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.
Where is Carly Thompson located?
Carly Thompson practices at 3322 E Beltline Ct NE, Grand Rapids, MI 49525. The listed phone number is (616) 226-2669.
What is Carly Thompson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carly Thompson enrolled in Medicare?
No. Carly Thompson has opted out of Medicare through July 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
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 6 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.
# Carly Elizabeth Thompson · NPI 1700492683
Family physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since September 16, 2020.
## Identity
- **NPI:** 1700492683 (Entity type: Individual)
- **Enumerated:** September 16, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704298713 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3322 E BELTLINE CT NE, Grand Rapids, MI 49525-9480
- **Phone:** (616) 226-2669
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through July 8, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 16, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1700492683) · Data from the CMS NPPES public registry.