Active NPI 1780766618 Individual Practitioner Female Practitioner

Coralee M. Thacker-Thompson , PNP

Nurse Practitioner - Pediatrics • Mountain View, MO

Professional Overview & Biography Verified Profile Summary

Coralee Thacker-Thompson, PNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Mountain View, MO. Practice services are available at 104 EAST HIGHWAY 60 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

104 East Highway 60

Mountain View, MO 65548

Telephone 4179342251

Fax 4179342871

Associated Practice Facility / Clinic

🏢 Mercy Clinic Springfield Communities Facility NPI 1003946732

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Mountain View, MO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 11.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Mountain View, MO (900 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MO 045482

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

426765103 (MO)

Practice Associates & Co-Workers

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

8 Associated Practitioners

Emily Lovan , FNP

Nurse Practitioner - Family

NPI 1003222357

Family Nurse Practitioner

Crystal Phipps , FNP

Nurse Practitioner - Family

NPI 1003583147

Family Nurse Practitioner

Dr. Hilary Frescoln , MD

Family Medicine

NPI 1366478588

Doctor of Medicine (M.D.)

Dr. Adegoke Adeleke , MD, MSM

Emergency Medicine

NPI 1568753481

Doctor of Medicine (M.D.), MSM

Laura Clark , FNP

Nurse Practitioner - Family

NPI 1619488855

Family Nurse Practitioner

Patricia Summerford , APRN

Nurse Practitioner - Family

NPI 1669430575

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 15, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location July 15, 2008

Registered at 104 EAST HIGHWAY 60, MOUNTAIN VIEW, MO 65548 (Tel: 4179342251)

📍

Updated Business Mailing Address July 15, 2008

Registered at PO BOX 2580, SPRINGFIELD, MO 658012580 (Tel: 4178294620)

👤

Provider Name / Credentials Updated July 15, 2008

Recorded as CORALEE THACKER-THOMPSON, PNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2008

Nurse Practitioner (License #045482 in MO)

🟢

Initial NPI Registration & Enumeration October 19, 2006

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: 1780766618

Entity Type:

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

Enumeration Date: October 19, 2006

Last Update: July 15, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2580

Springfield, MO 658012580

Phone: 4178294620

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.