HANNAH THACKER – Physician Assistant, NPI 1013893379
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
Provider Addresses for HANNAH THACKER
PO BOX 2379
ASHLAND, KY 411052379
Phone: (606) 408-9564
Fax: (606) 408-6061
Type: Mailing
617 23RD ST STE 105
ASHLAND, KY 411012890
Phone: (606) 408-7500
Fax: (606) 408-6600
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: 2025-09-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20250909003499 | I | Physician Assistant | KY | TBD |
| I20250929001040 | I | Physician Assistant | OH | 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 41105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | KY | |
| A N E S T H E S I O L O G Y | FL | |
| Urology, Internal Medicine | KY | |
| Nurse Practitioner | KY | |
| P S Y C H I A T R Y | KY | |
| Nurse Practitioner | KY | |
| Psychiatry, Addiction Medicine | WV | |
| Physician Assistant | OH | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | KY |
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