KRISTIE J THACKER (M.S., CCC-A) – Audiologist, NPI 1780820597

KRISTIE J THACKER (M.S., CCC-A) is a healthcare provider. based in Portsmouth, Ohio. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials M.S., CCC-A. They hold a License No. A-01284 (OH). The NPI Number for KRISTIE J THACKER (M.S., CCC-A) is 1780820597

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIE J THACKER (M.S., CCC-A)
NPI
1780820597
Phone
(740) 356-8008
Address
1735 27TH ST
Enumeration Date
29 December 2008
Last Update Date
29 December 2008

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
0143387639
Group Practice PAC ID
9436061645
Professional Enrollment ID
I20090327000343
Address ID
OH456626932PO1611XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

412 QUALIFIED AUDIOLOGIST in OH

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Provider Addresses for KRISTIE J THACKER (M.S., CCC-A)

  • 1735, 27th Street, Portsmouth, Scioto County, Ohio, 45662, United States

    WALLER BUILDING, SUITE B06

    PORTSMOUTH, OH 456622677

    Phone: (740) 356-8008

    Fax: (740) 353-7900

    Type: Mailing

  • 1711, 27th Street, Portsmouth, Scioto County, Ohio, 45662, United States

    BRAUNLIN BUILDING, SUITE 403

    PORTSMOUTH, OH 456622654

    Phone: (740) 353-7881

    Fax: (740) 355-8594

    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: 2009-03-27

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
I20090327000343IQualified AudiologistOHTBD

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
92540Evaluation and testing for balance with recording4747$0
92537Test to assess balance during warm and cool irrigation in both ears4444$0
View full utilization report →

Insurance plans in this area (ZIP 45662)

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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: 9436061645View full group profile

Reviews

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Frequently asked questions

How is KRISTIE J THACKER (M.S., CCC-A) identified in CMS data?
CMS-hosted NPPES data lists KRISTIE J THACKER (M.S., CCC-A) with NPI 1780820597.
Can I rely on KRISTIE J THACKER (M.S., CCC-A) being an active provider?
As of the registry snapshot, KRISTIE J THACKER (M.S., CCC-A) is marked active.
What is KRISTIE J THACKER (M.S., CCC-A) best known for clinically?
Directory data describes KRISTIE J THACKER (M.S., CCC-A) with Audiologist. Clinical services aligned with this taxonomy classification.
Where should I expect KRISTIE J THACKER (M.S., CCC-A) on a map?
Expect Portsmouth, Ohio as a primary anchor for KRISTIE J THACKER (M.S., CCC-A) unless the record lists multiple sites.
Is the information about KRISTIE J THACKER (M.S., CCC-A) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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