ALEXANDER KORAL THOMPSON (RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1518551795

ALEXANDER KORAL THOMPSON (RN) is a healthcare provider. based in Minneapolis, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 2392538 (MN). The NPI Number for ALEXANDER KORAL THOMPSON (RN) is 1518551795

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDER KORAL THOMPSON (RN)
NPI
1518551795
Phone
(612) 273-6642
Address
2450 Riverside Ave
Enumeration Date
27 February 2021
Last Update Date
14 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7632363800
Graduation Year
2021 (5 years ago)
PAC ID
1557743952
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20220802001157
Address ID
MN554322718FR520XXNEXX403

Contacts

Secure Messaging
athompson740995@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness95
Years active:5State licenses:2Other names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for ALEXANDER KORAL THOMPSON (RN)

  • 2450 Riverside Ave

    Minneapolis, MN 554541450

    Phone: (612) 273-6642

    Type: Location

  • 701 Park Ave

    Minneapolis, MN 554151623

    Phone: (612) 873-6963

    Type: Location

  • 2450 RIVERSIDE AVE

    MINNEAPOLIS, MN 554541450

    Phone:

    Type: Mailing

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (763) 236-3800

    Type: Mailing

  • 520 OSBORNE RD NE STE 210

    FRIDLEY, MN 554322718

    Phone: (763) 236-3800

    Fax: (763) 236-3821

    Type: Location

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: 2022-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20220802001157INurse PractitionerMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making2020$0
99283Emergency department visit with low level of medical decision making1919$0
99282Emergency department visit with straightforward medical decision making1514$0
View full utilization report →

Insurance plans in this area (ZIP 55454)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

How do I look up ALEXANDER KORAL THOMPSON (RN) by NPI?
Use NPI 1518551795 when you need to reference ALEXANDER KORAL THOMPSON (RN) in forms, claims, or directories.
Is ALEXANDER KORAL THOMPSON (RN) active in the national directory?
ALEXANDER KORAL THOMPSON (RN)'s public NPI profile is in an active state.
Does ALEXANDER KORAL THOMPSON (RN) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for ALEXANDER KORAL THOMPSON (RN). Clinical services aligned with this taxonomy classification.
Where does public data place ALEXANDER KORAL THOMPSON (RN)?
The snapshot lists Minneapolis, Minnesota for ALEXANDER KORAL THOMPSON (RN); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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