Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538159736 Individual Practitioner Female Practitioner

Kelly Ann Thompson

Nurse Practitioner • Staples, MN

Professional Overview & Biography Verified Profile Summary

Kelly Thompson is a registered healthcare professional specializing in Nurse Practitioner in Staples, MN. Practice services are available at 49725 COUNTY 83 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

49725 County 83

Staples, MN 564795280

Telephone 2188941515
Fax 2188941316
Associated Practice Facility / Clinic
🏢 Lakewood Health System Facility NPI 1841280823

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Staples, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Staples, MN (2609 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN 0382065

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kelly Vanvickle

Nurse Practitioner - Women's Health

NPI 1013332105
Marissa Baumgartner , PA-C

Physician Assistant

NPI 1023727146

Physician Assistant (Certified)

Dr. Jordan Moe , MD

Family Medicine

NPI 1033386966

Doctor of Medicine (M.D.)

NPI 1043200678

Doctor of Medicine (M.D.)

Luann Gammon , LICSW

Social Worker - Clinical

NPI 1053630053

Licensed Independent Clinical Social Worker

Dr. Paige Carlson , MD

Internal Medicine

NPI 1063150415

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 49725 COUNTY 83, STAPLES, MN 564795280 (Tel: 2188941515)

📍
Updated Business Mailing Address July 08, 2007

Registered at 49725 COUNTY 83, STAPLES, MN 564795280 (Tel: 2188941515)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KELLY THOMPSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #0382065 in MN)

🟢
Initial NPI Registration & Enumeration October 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538159736
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2005
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

49725 County 83

Staples, MN 564795280

Phone: 2188941515

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.