Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alicia A Thompson

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1558147645

Alicia A Thompson is a Nurse Practitioner in Newark, Ohio. Qualified in 2023, 3 years ago. Practices with Oh Independent Medical Group LLC, a 129-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2023

Practice location Address checks out

65 Messimer Dr
Newark, OH 43055-1874
Phone: (740) 522-8477
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.0034815 (OH)

Record details

NPI number1558147645
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 5, 2023
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023
Mailing address122 S 3rd St, Newark, OH 43055-5355

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Oh Independent Medical Group Llc — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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