JACLYNN MARIE THACKER (APRN, NP-C) – Family Nurse Practitioner, NPI 1073283362
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
Provider Addresses for JACLYNN MARIE THACKER (APRN, NP-C)
307 S Indiana Ave
English, IN 471185851
Phone: (812) 338-2924
Fax: (812) 338-5851
Type: Location
420 W LONGEST ST
PAOLI, IN 474548821
Phone: (812) 723-3944
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $874.
Total Amount is formed as General ($874) + Research ($0) + Ownership ($0) = $874.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($156).
Total Amount
$874
General + Research + Ownership
Payments
49
Total payment records
General Amount
$874
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $156 |
| ABBVIE INC. | $95 |
| Lilly USA, LLC | $70 |
| PFIZER INC. | $44 |
| Lundbeck LLC | $42 |
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: 2021-11-15
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 |
|---|---|---|---|---|
| I20211115001292 | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 49 | 38 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 34 | 16 | $0 |
| 81003 | Automated urinalysis test | 15 | 12 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 47118)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | ME | |
| Nurse Practitioner | IN | |
| Emergency Medicine, Family Practice | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN |
Reviews
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