WILLA M THOMPSON (NURSE PRACTITIONER) – Psychiatric/Mental Health Nurse Practitioner, NPI 1891208039

WILLA M THOMPSON (NURSE PRACTITIONER) is a healthcare provider. based in Putnam, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 7431 (CT). The NPI Number for WILLA M THOMPSON (NURSE PRACTITIONER) is 1891208039

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
WILLA M THOMPSON (NURSE PRACTITIONER)
NPI
1891208039
Phone
(860) 963-7917
Address
202 POMFRET ST
Enumeration Date
9 November 2017
Last Update Date
22 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
20389917708005
Graduation Year
2015 (11 years ago)
PAC ID
5799046348
Group Practice PAC ID
6305988510
Professional Enrollment ID
I20180223000211
Address ID
CT068541525NO120XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,219 NURSE PRACTITIONER in CT

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Provider Addresses for WILLA M THOMPSON (NURSE PRACTITIONER)

  • 202, Pomfret Street, Putnam, Windham County, Connecticut, 06260, United States

    PUTNAM, CT 062601833

    Phone: (860) 963-7917

    Fax: (860) 963-0015

    Type: Location

  • Generations Family Health Center, 40, Mansfield Avenue, Willimantic, Windham, Windham County, Connecticut, 06226, United States

    WILLIMANTIC, CT 062262018

    Phone: (504) 247-3796

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-05

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180223000211INurse PractitionerCTTBD
I20260205003980INurse PractitionerLATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06260)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305988510View full group profile
NameSpecialtyState
-CT
Clinical Social WorkerFL
O B S T E T R I C S/ G Y N E C O L O G YCT
Internal MedicineCT
-CT
Internal MedicineCT
O B S T E T R I C S/ G Y N E C O L O G YMA
Internal MedicineCT
Clinical Social WorkerCT
Mental Health CounselorCT

Reviews

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Frequently asked questions

What is the registry number for WILLA M THOMPSON (NURSE PRACTITIONER)?
The registry entry for WILLA M THOMPSON (NURSE PRACTITIONER) shows NPI 1891208039.
Is WILLA M THOMPSON (NURSE PRACTITIONER) currently accepting referrals based on NPI status?
Registry metadata lists WILLA M THOMPSON (NURSE PRACTITIONER) as active.
Which specialty label fits WILLA M THOMPSON (NURSE PRACTITIONER)?
NPPES ties WILLA M THOMPSON (NURSE PRACTITIONER) to Psychiatric/Mental Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to WILLA M THOMPSON (NURSE PRACTITIONER)?
The directory associates WILLA M THOMPSON (NURSE PRACTITIONER) with Putnam, Connecticut. Check all listed addresses for suites or satellite offices.
Can I export WILLA M THOMPSON (NURSE PRACTITIONER)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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