DWIGHT L THACKER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1801865100

DWIGHT L THACKER (CRNA) is a healthcare provider. based in Norman, Oklahoma. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R0073406 (OK). The NPI Number for DWIGHT L THACKER (CRNA) is 1801865100

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DWIGHT L THACKER (CRNA)
NPI
1801865100
Phone
(405) 701-3418
Address
3650 W ROCK CREEK RD
Enumeration Date
17 March 2006
Last Update Date
6 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4056026500
Graduation Year
2005 (21 years ago)
PAC ID
0840299871
Group Practice PAC ID
9638429178
Professional Enrollment ID
I20061220000285
Address ID
OK731399404OK8100XAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

669 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OK

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Provider Addresses for DWIGHT L THACKER (CRNA)

  • 3650, West Rock Creek Road, Norman, Cleveland County, Oklahoma, 73072, United States

    #100

    NORMAN, OK 730722202

    Phone: (405) 701-3418

    Fax: (405) 701-3451

    Mailing address matches the actual address.

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: 2006-12-20

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
I20061220000285ICertified Registered Nurse Anesthetist (Crna)OKTBD

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
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)1616$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1313$0
00813Anesthesia for procedure on small and large bowel using an endoscope1212$0
01400Anesthesia for other procedure or exam of knee joint using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 73072)

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Provider's Procedures

DWIGHT L THACKER (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETOK00790Anesthesia for procedure in upper abdomen including use of an endoscope1313

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: 9638429178View full group profile
NameSpecialtyState
Anesthesiology AssistantMO
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YMS
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YMD
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YCT
A N E S T H E S I O L O G YTX
Anesthesiology, Interventional Pain ManagementTX

Reviews

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Frequently asked questions

Can I cross-check DWIGHT L THACKER (CRNA) using NPI 1801865100?
NPI 1801865100 belongs to DWIGHT L THACKER (CRNA); compare other details if you need extra assurance.
Is DWIGHT L THACKER (CRNA) still an active registrant?
DWIGHT L THACKER (CRNA) carries an active NPI according to the public dataset.
What kind of doctor is DWIGHT L THACKER (CRNA)?
DWIGHT L THACKER (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Where in Oklahoma is DWIGHT L THACKER (CRNA) registered?
Use Norman, Oklahoma as the headline location for DWIGHT L THACKER (CRNA) here.
Can I trust this NPI listing for DWIGHT L THACKER (CRNA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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