TIFFANY A THACKER (FNP-C) – Family Nurse Practitioner, NPI 1063957033
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for TIFFANY A THACKER (FNP-C)
6983 HILLSDALE CT
INDIANAPOLIS, IN 462502054
Phone: (317) 308-2800
Fax: (317) 576-6311
Type: Mailing
2330 S DIXON RD
KOKOMO, IN 469026411
Phone: (765) 455-8822
Fax: (765) 865-3935
Type: Location
13345 ILLINOIS ST
CARMEL, IN 460323318
Phone: (317) 396-1300
Fax: (317) 352-3417
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $60.
Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: DJO, LLC ($34).
Total Amount
$60
General + Research + Ownership
Payments
2
Total payment records
General Amount
$60
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DJO, LLC | $34 |
| Saluda Medical Americas, Inc. | $26 |
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: 2017-10-17
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 |
|---|---|---|---|---|
| I20171017001770 | I | Nurse Practitioner | IN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 38 | 23 | $0 |
| 22633 | Fusion of spine in lower back with partial removal of spine bone and disc | 17 | 17 | $0 |
| 63052 | Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back | 16 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 15 | $0 |
| 61783 | Computer-assisted spinal procedure | 14 | 14 | $0 |
Insurance plans in this area (ZIP 46250)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| N E U R O S U R G E R Y | IN | |
| Physician Assistant | IN | |
| N E U R O S U R G E R Y | IN | |
| N E U R O S U R G E R Y | OR | |
| - | IN | |
| Nurse Practitioner | IN | |
| Diagnostic Radiology | IN | |
| N E U R O S U R G E R Y | IN | |
| N E U R O S U R G E R Y | IN |
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