DR. NICOLE MARIE THATCHER MD
NPI 1013653732
General Practice in Jacksonville, FL

Q: What is Nicole Thatcher's NPI number?

The NPI number for Nicole Thatcher is 1013653732. It was assigned to this individual provider in the NPPES registry on May 5, 2022.

Q: What is Nicole Thatcher's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Thatcher was last updated on April 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 05, 2022PECOS Enrolled

2080 CHILD ST, JACKSONVILLE, FL 32214(904) 542-0409 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2025, May 5, 2022 (2 updates tracked since 2022).

On this page

About Dr. Nicole Marie Thatcher Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICOLE MARIE THATCHER MD (NPI 1013653732) is an individual general practice provider in Jacksonville, Florida, licensed in Virginia (0101279452) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013653732

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. NICOLE MARIE THATCHERCredential: MD

Location Address2080 CHILD STJacksonville, FL 32214-2111

Mailing Address1652 Mitscher Ave Ste 250Norfolk, VA 23551-0001 · (904) 542-0409

Phone(904) 542-0409

Sole ProprietorNo

Enumeration DateMay 5, 2022

Last NPPES UpdateApril 9, 20252 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1013653732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 0101279452

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2080 CHILD ST, Jacksonville, FL 32214

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Marie Thatcher Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.