Active NPI 1063483493 Individual Practitioner Male Practitioner

Mark K Thalacker , CNP

Nurse Practitioner • Woodbury, MN

Professional Overview & Biography Verified Profile Summary

Mark Thalacker, CNP is a registered healthcare professional specializing in Nurse Practitioner in Woodbury, MN. Practice services are available at 1875 WOODWINDS DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1875 Woodwinds Dr
Suite 130

Woodbury, MN 551252298

Telephone 6512320500

Associated Practice Facility / Clinic

🏢 Group Health Plan Inc Facility NPI 1194885178

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Woodbury, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 8.1 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

35 Specialists

Practicing in Woodbury, MN (2609 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	293	153	$461.27	$79.99
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$328.10	$54.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	314	123	$424.32	$81.58
99213 Established patient office or other outpatient visit, typically 15 minutes	26	16	$301.23	$55.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	279	105	$369.45	$83.03
99213 Established patient office or other outpatient visit, typically 15 minutes	45	29	$246.36	$56.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	264	109	$344.09	$66.55
99213 Established patient office or other outpatient visit, typically 15 minutes	33	21	$235.45	$43.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	12	$231.39	$61.55
99442 Telephone medical discussion with physician, 11-20 minutes	18	18	$74.28	$43.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	440	146	$314.06	$65.14
99213 Established patient office or other outpatient visit, typically 15 minutes	52	29	$214.27	$42.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	15	$210.19	$60.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	74	$218.00	$65.21
99213 Established patient office or other outpatient visit, typically 15 minutes	33	16	$143.00	$42.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	78	$210.67	$65.03
99213 Established patient office or other outpatient visit, typically 15 minutes	31	15	$138.00	$42.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	11	$193.00	$59.73

Medical Specialties & State Licenses

CMS Verified: 2024-02-26

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN R096321-5

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

815725100 (MN)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Syed Muhammed Bilal Naqvi , MD

Internal Medicine - Hematology & Oncology

NPI 1598865818

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

👤

Provider Name / Credentials Updated February 26, 2024

Recorded as MARK THALACKER, CNP

✅

NPI Profile Active October 24, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 24, 2011

Registered at 1875 WOODWINDS DR, SUITE 130, WOODBURY, MN 551252298 (Tel: 6512320500)

📍

Updated Business Mailing Address October 24, 2011

Registered at 1875 WOODWINDS DR, SUITE 130, WOODBURY, MN 551252298 (Tel: 6512320500)

👤

Provider Name / Credentials Updated October 24, 2011

Recorded as MARK THALACKER, RN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2011

Nurse Practitioner (License #R096321-5 in MN)

🟢

Initial NPI Registration & Enumeration February 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Mark Thalacker. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1063483493

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 01, 2006

Last Update: February 26, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1875 Woodwinds Dr, Suite 130

Woodbury, MN 551252298

Phone: 6512320500

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.