PAULA G THACKER (CNM) – Advanced Practice Midwife, NPI 1205867553

PAULA G THACKER (CNM) is a healthcare provider. based in West valley city, Utah. specializing in Advanced Practice Midwife. They hold the professional credentials CNM. They hold a License No. 2132644402 (UT). The NPI Number for PAULA G THACKER (CNM) is 1205867553

Main info

Female
Name
PAULA G THACKER (CNM)
NPI
1205867553
Phone
(801) 965-3600
Address
3725 W 4100 SOUTH
Enumeration Date
5 July 2006
Last Update Date
18 March 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for PAULA G THACKER (CNM)

  • 4100 West, Country Meadows, West Valley City, Salt Lake County, Utah, 84120, United States

    WEST VALLEY CITY, UT 84120

    Phone: (801) 965-3600

    Fax: (801) 965-3526

    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)

CMS reports 14 Open Payments records for all available years, with a total value of $281.

Total Amount is formed as General ($281) + Research ($0) + Ownership ($0) = $281.

Last reported payment date: 2024-05-10 • Largest payer in this snapshot: ABBVIE INC. ($163).

Total Amount

$281

General + Research + Ownership

Payments

14

Total payment records

General Amount

$281

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-10

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: 2020-12-22

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
I20201222000559INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes3113$0
View full utilization report →

Insurance plans in this area (ZIP 84120)

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Reviews

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Frequently asked questions

What is PAULA G THACKER (CNM)'s NPI number?
PAULA G THACKER (CNM)'s NPI is 1205867553 — the number used across U.S. healthcare to identify this provider.
Is PAULA G THACKER (CNM) still an active registrant?
PAULA G THACKER (CNM) carries an active NPI according to the public dataset.
What kind of doctor is PAULA G THACKER (CNM)?
PAULA G THACKER (CNM) is associated with Advanced Practice Midwife in the directory — Clinical services aligned with this taxonomy classification.
Is PAULA G THACKER (CNM) associated with West Valley City?
Public fields place PAULA G THACKER (CNM) around West Valley City, Utah. 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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