CHRISTINA THACKER (FNP-C) – Family Nurse Practitioner, NPI 1699225730

CHRISTINA THACKER (FNP-C) is a healthcare provider. based in Vernal, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 190006-4405 (UT). The NPI Number for CHRISTINA THACKER (FNP-C) is 1699225730

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINA THACKER (FNP-C)
NPI
1699225730
Phone
(435) 828-5954
Address
2561 E 1500 S
Enumeration Date
13 October 2016
Last Update Date
25 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4357818899
Graduation Year
2016 (10 years ago)
PAC ID
3476832262
Group Practice PAC ID
6406881747
Professional Enrollment ID
I20161118000870
Address ID
UT840782416VE872XX40XX400

Contacts

Secure Messaging
medreview@reverehealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

2,655 NURSE PRACTITIONER in UT

Provider Addresses for CHRISTINA THACKER (FNP-C)

  • 2561 E 1500 S

    VERNAL, UT 840789137

    Phone: (435) 828-5954

    Type: Mailing

  • 250 W 300 N

    ROOSEVELT, UT 840662336

    Phone: (435) 722-4691

    Type: Location

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 $1,206.

Total Amount is formed as General ($1,206) + Research ($0) + Ownership ($0) = $1,206.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($609).

Total Amount

$1,206

General + Research + Ownership

Payments

49

Total payment records

General Amount

$1,206

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-11-18

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
I20161118000870INurse PractitionerUTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5846$0
99214Established patient office or other outpatient visit, 30-39 minutes4935$0
36415Insertion of needle into vein for collection of blood sample4731$0
81002Urinalysis, manual test2418$0
83036Hemoglobin a1c level1414$0
View full utilization report →

Insurance plans in this area (ZIP 84078)

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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: 6406881747View full group profile
NameSpecialtyState
Family PracticeUT

Reviews

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Frequently asked questions

Where can patients find CHRISTINA THACKER (FNP-C)'s NPI?
You can confirm CHRISTINA THACKER (FNP-C) with NPI 1699225730; it appears in the national provider directory.
Is CHRISTINA THACKER (FNP-C) currently active in the NPI registry?
CMS-published data lists CHRISTINA THACKER (FNP-C) as an active registrant.
What does CHRISTINA THACKER (FNP-C) treat or focus on?
Patients typically see CHRISTINA THACKER (FNP-C) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is CHRISTINA THACKER (FNP-C)'s primary listing?
We display Vernal, Utah because that is what the record indicates for CHRISTINA THACKER (FNP-C).
Is CHRISTINA THACKER (FNP-C) a real provider?
This page reflects official NPPES data for NPI 1699225730. Always confirm identity and privileges with the practice and licensing boards.

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