DR. BRYCE J THACKER (DNP, CNS, FNP-C) – Psychiatric/Mental Health Nurse Practitioner, NPI 1386670545
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,198 NURSE PRACTITIONER in CO
Provider Addresses for DR. BRYCE J THACKER (DNP, CNS, FNP-C)
393 ELDRIDGE ST
BURLINGTON, CO 808071356
Phone: (719) 343-5388
Type: Mailing
602 N 6TH ST W
CHEYENNE WELLS, CO 808105125
Phone: (719) 767-5669
Type: Location
4435 E Chandler Blvd Ste 200
Phoenix, AZ 850487651
Phone: (833) 851-8255
Type: Location
8101 College Blvd Ste 100
Overland Park, KS 662102671
Phone: (833) 351-8255
Type: Location
12020 Shamrock Plz Ste 200
Omaha, NE 681543537
Phone: (833) 351-8255
Type: Location
109 W 27th St Rm 5S
New York, NY 100016208
Phone: (833) 351-8255
Type: Location
400 Union Ave SE Ste 200
Olympia, WA 985012060
Phone: (833) 351-8255
Type: Location
9620 NE Tanasbourne Dr Ste 200
Hillsboro, OR 971247845
Phone: (833) 351-8255
Type: Location
OneMain Financial, 1401, South Main Street, Lamar, Prowers County, Colorado, 81052, United States
LAMAR, CO 810523821
Phone: (719) 336-0315
Fax: (719) 336-0816
Type: Mailing
2373 CENTRAL PARK BLVD UNIT 100
DENVER, CO 802382300
Phone: (833) 351-8255
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: 2010-01-22
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 |
|---|---|---|---|---|
| I20100122000492 | I | Nurse Practitioner | CO | 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 80807)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO |
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