BERYL THOMPSON (APRN, FNP) – Family Nurse Practitioner, NPI 1356805956
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
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Provider Addresses for BERYL THOMPSON (APRN, FNP)
Jack in the Box, 6915, South Broadway Avenue, Tyler, Smith County, Texas, 75703, United States
TYLER, TX 757130549
Phone: (903) 579-3931
Fax: (903) 509-5835
Type: Mailing
280, Nacogdoches Street, Jacksonville, Cherokee County, Texas, 75766, United States
JACKSONVILLE, TX 75766
Phone: (903) 541-5396
Fax: (903) 541-5393
Type: Location
305 W RUSK ST
JACKSONVILLE, TX 757662337
Phone: (903) 393-3594
Fax: (903) 913-7876
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $402.
Total Amount is formed as General ($402) + Research ($0) + Ownership ($0) = $402.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ViiV Healthcare Company ($118).
Total Amount
$402
General + Research + Ownership
Payments
15
Total payment records
General Amount
$402
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-05-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190508002642 | I | Nurse Practitioner | TX | TBD |
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.
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 75713)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | MS | |
| Physician Assistant | TX | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Emergency Medicine, Family Practice | TX |
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