TIMOTHY THACKER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1437134376

TIMOTHY THACKER (CRNA) is a healthcare provider. based in Zanesville, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 139495 (OH). The NPI Number for TIMOTHY THACKER (CRNA) is 1437134376

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY THACKER (CRNA)
NPI
1437134376
Phone
(740) 455-4937
Address
945 BETHESDA DRIVE
Enumeration Date
14 December 2005
Last Update Date
4 June 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6143925336
Graduation Year
1977 (49 years ago)
PAC ID
2769548791
Group Practice PAC ID
1456503937
Professional Enrollment ID
I20090227000023
Address ID
OH432304566GA1090XNXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

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Provider Addresses for TIMOTHY THACKER (CRNA)

  • 945, Bethesda Drive, Zanesville, Muskingum County, Ohio, 43701, United States

    200B

    ZANESVILLE, OH 437011406

    Phone: (740) 455-4937

    Fax: (740) 455-4931

    Type: Mailing

  • Genesis Healthcare System, 2951, Maple Avenue, Zanesville, Muskingum County, Ohio, 43701, United States

    ZANESVILLE, OH 437011406

    Phone: (740) 387-6193

    Fax: (740) 387-6738

    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: 2009-02-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090227000023ICertified Registered Nurse Anesthetist (Crna)OHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01992Anesthesia for nerve block and injection procedure, prone position3632$0
View full utilization report →

Insurance plans in this area (ZIP 43701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456503937View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Is there an official ID for TIMOTHY THACKER (CRNA) in U.S. healthcare records?
The official identifier for TIMOTHY THACKER (CRNA) is NPI 1437134376.
Would TIMOTHY THACKER (CRNA) appear as active to a payer?
You can treat TIMOTHY THACKER (CRNA) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is TIMOTHY THACKER (CRNA)?
TIMOTHY THACKER (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is TIMOTHY THACKER (CRNA) associated with Zanesville?
Public fields place TIMOTHY THACKER (CRNA) around Zanesville, Ohio. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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