Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrea L Thompson, PA-C

Individual provider Physician Assistant · NPI 1508861865

Andrea L Thompson, PA-C is a Physician Assistant in Fayetteville, Arkansas. Qualified in 2001, 25 years ago. Practices with Advanced Dermatology and Skin Cancer Center, LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Arkansas and Connecticut.

Years since qualifying
25
Licensed in
AR, CT
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1444 E Stearns St Ste 11
Fayetteville, AR 72703-6243
Phone: (479) 718-7546
Fax: (479) 966-4979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-412 (AR)
Physician Assistant Taxonomy 363A00000X · Licence 001125 (CT)

Record details

NPI number1508861865
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 14, 2005
Last updated in NPPESAugust 29, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Advanced Dermatology And Skin Cancer Center, Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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