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MARK K THALACKER CNP
NPI 1063483493
Nurse Practitioner in Woodbury, MN

Active since February 01, 2006PECOS Enrolled
87.63/100
CMS Quality Rating
1875 WOODWINDS DR, SUITE 130, WOODBURY, MN 55125(651) 232-0500 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark K Thalacker Cnp NPPES

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

MARK K THALACKER CNP (NPI 1063483493) is an individual nurse practitioner in Woodbury, Minnesota, licensed in Minnesota (R096321-5) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063483493
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMARK K THALACKERCredential: CNP
Location Address1875 WOODWINDS DR, SUITE 130Woodbury, MN 55125-2298
Mailing Address1875 Woodwinds Dr, Suite 130Woodbury, MN 55125-2298 · (651) 232-0500
Phone(651) 232-0500
Sole ProprietorNo
Enumeration DateFebruary 1, 2006
Last NPPES UpdateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1063483493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · R096321-5
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1875 WOODWINDS DR, Woodbury, MN 55125
Open in Google Maps ↗

Other Identifiers 1

Medicaid815725100MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark K Thalacker Cnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.78
Promoting Interoperability100
Improvement Activities40
Cost71.59

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$67.86 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$30.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTHEAST MEDICAL RESEARCH INSITITUE
Specialist
1875 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 232-6800
MICHELE L PETERSON MD
Pediatrics
1875 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 232-6700
CHRISTIAN RICH MATTHEWS MD
Family Medicine (Sports Medicine)
1875 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 232-6700
DR. AMY JANE ENGEBRETSON M.D.
Obstetrics & Gynecology
1875 WOODWINDS DR, SUITE 110
WOODBURY, MN 55125
Washington County (651) 686-6400
LAURA L BENIKE CPNP
Nurse Practitioner (Pediatrics)
1875 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 232-6700
KAYLA R MCCLANAHAN RDN, LD, CNSC
Dietitian, Registered
1875 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 232-6800
LINDA A GELLERMAN CNM
Midwife
1875 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 232-0655
EILEEN MICHELLE HERNANDEZ CNMT
Massage Therapist
1875 WOODWINDS DR, SUITE 100
WOODBURY, MN 55125
Washington County (651) 232-6380

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Thalacker's NPI number?

The NPI number for Mark Thalacker is 1063483493. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Mark Thalacker located?

Mark Thalacker practices at 1875 Woodwinds Dr Suite 130, Woodbury, MN 55125. The listed phone number is (651) 232-0500.

What is Mark Thalacker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mark Thalacker enrolled in Medicare?

Yes. Mark Thalacker is registered in the Medicare PECOS enrollment system.

What insurance does Mark Thalacker accept?

Health plans from Medica list Mark Thalacker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Thalacker was last updated on February 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.