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Active NPI 1073003588 Individual Practitioner Female Practitioner

Michelle Macey Thacker , NP-C

Nurse Practitioner • Lawrenceville, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michelle Thacker, NP-C is a certified Nurse Practitioner practicing in Lawrenceville, IL. With approximately 8 years of clinical experience since completing medical education in 2018, Michelle Thacker delivers high-quality medical care to the local community at 2111 LEXINGTON AVE.

Michelle Thacker is affiliated with Wabash General Hospital District and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus, detection test for strep (streptococcus, group a). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2111 Lexington Ave

Lawrenceville, IL 62439

Telephone 6189437214
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Lawrenceville, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs Matches City Avg
City Avg: 8.0 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Lawrenceville, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thacker (8 Years) 8 Yrs
Lawrenceville Specialty Average (8.0 Years) 8.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
103 100 $170.00 $71.45
87637 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus
28 28 $395.00 $139.78
87651 Detection test for Strep (Streptococcus, group A)
15 15 $140.00 $34.39
81003 Automated urinalysis test
13 12 $18.00 $2.20

Medical Specialties & State Licenses

CMS Verified: 2023-04-20
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71010904A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IL 209017621

Definition to come...

Hospital & Practice Group Affiliations

Wabash General Hospital District

1418 College Dr, Mount Carmel, IL 628632638

Phone: 6182628621

Wabash General Hospital District

1418 College Dr, Mt Carmel, IL 628632638

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Reiley Michels , APRN

Nurse Practitioner - Family

NPI 1023840469

Advanced Practice Registered Nurse

NPI 1497337968

Doctor of Medicine (M.D.)

Kathleen White , MSN FNP-C

Nurse Practitioner - Family

NPI 1942668314

MSNFNPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 10, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2018

Registered at 2111 LEXINGTON AVE, LAWRENCEVILLE, IL 62439 (Tel: 6189437214)

📍
Updated Business Mailing Address May 10, 2018

Registered at 2111 LEXINGTON AVE, LAWRENCEVILLE, IL 62439

👤
Provider Name / Credentials Updated May 10, 2018

Recorded as MICHELLE THACKER, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2018

Nurse Practitioner (License #209017621 in IL)

🟢
Initial NPI Registration & Enumeration May 10, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073003588
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2018
Last Update: April 20, 2023
Sole Proprietor: No

Mailing Address

2111 Lexington Ave

Lawrenceville, IL 62439

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.