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MICHELLE MACEY THACKER NP-C
NPI 1073003588
Nurse Practitioner in Lawrenceville, IL

Active since May 10, 2018PECOS EnrolledAccepts Medicare Assignment
2111 LEXINGTON AVE, LAWRENCEVILLE, IL 62439(618) 943-7214 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michelle Macey Thacker Np-c NPPES

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

MICHELLE MACEY THACKER NP-C (NPI 1073003588) is an individual nurse practitioner in Lawrenceville, Illinois, licensed in Indiana (71010904A) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Wabash General Hospital 1, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1073003588
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMICHELLE MACEY THACKERCredential: NP-C
Location Address2111 LEXINGTON AVELawrenceville, IL 62439
Mailing Address2111 Lexington AveLawrenceville, IL 62439
Phone(618) 943-7214
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 10, 2018
Last NPPES UpdateApril 20, 2023
NPPES CertifiedApril 20, 2023
✔ NPI 1073003588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71010904A
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209017621 (IL)
2111 LEXINGTON AVE, Lawrenceville, IL 62439
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Macey Thacker Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113272121
PECOS Enrollment IDI20250714001058
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Michelle Thacker reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lawrence County Memorial Hospital
Same address
Rural Health
2111 LEXINGTON AVE
Lawrenceville, IL 62439
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1881643401 (Illinois)
  • 78 clinicians in this Medicare group
NPI 1811183692 (618) 943-7216
Richland Memorial Hospital, Inc.
21 mi
Rural Health
1200 N EAST ST
Olney, IL 62450
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1467492124 (Illinois)
  • 301 clinicians in this Medicare group
NPI 1053792689 (618) 392-2940
Wabash General Hospital District
21 mi
General Practice
1418 COLLEGE DR
Mount Carmel, IL 62863
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1194728808 (Illinois)
  • 99 clinicians in this Medicare group
NPI 1295834208 (618) 262-8621
Signify Health Medical Associates, PLLC
650 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois and Minnesota enrollments
  • 712 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wabash General Hospital 1

Critical Access Hospitals · Mount Carmel, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141327
Location1418 College DriveMount Carmel, IL 62863 · Wabash County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62439 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 13

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

REILEY ERYN MICHELS APRN
Nurse Practitioner (Family)
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439
Lawrence County (618) 943-7214
TRACY R RAMSEY FNP
Nurse Practitioner (Family)
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439
Lawrence County (618) 942-7214
DIANNE ELIZABETH ADAMS DO
Family Medicine
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439
Lawrence County (618) 943-7421
MRS. TANNA LYNN MCCULLOUGH FNP
Nurse Practitioner (Family)
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439
Lawrence County (618) 943-7216
LAWRENCE COUNTY MEMORIAL HOSPITAL
Medicare Defined Swing Bed Unit
2111 LEXINGTON AVE
LAWRENCEVILLE, IL 62439
Lawrence County (618) 943-1000
DR. STEVEN MARK RAMSARAN M.D.
Family Medicine
2111 LEXINGTON AVE, SUITE 6
LAWRENCEVILLE, IL 62439
Lawrence County (618) 943-1996
RACHEL A. WINTERS M.D.
Family Medicine
2111 LEXINGTON AVE, SUITE 3
LAWRENCEVILLE, IL 62439
Lawrence County (618) 943-6202
STEVEN M. RAMSARAN, MD
Clinic/Center
2111 LEXINGTON AVE, SUITE 6
LAWRENCEVILLE, IL 62439
Lawrence County (618) 943-1996

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 Michelle Thacker's NPI number?

The NPI number for Michelle Thacker is 1073003588. It was assigned to this individual provider in the NPPES registry on May 10, 2018.

Where is Michelle Thacker located?

Michelle Thacker practices at 2111 Lexington Ave, Lawrenceville, IL 62439. The listed phone number is (618) 943-7214.

What is Michelle Thacker's specialty?

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

Is Michelle Thacker enrolled in Medicare?

Yes. Michelle Thacker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michelle Thacker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Thacker reassigns Medicare benefits to 4 organizations: Lawrence County Memorial Hospital (Lawrenceville, IL), Richland Memorial Hospital, Inc. (Olney, IL), Wabash General Hospital District (Mount Carmel, IL) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Thacker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Thacker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, CareSource and CareSource (Common Ground Healthcare) list Michelle Thacker 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.

Is Michelle Thacker affiliated with any hospitals?

According to CMS data, Michelle Thacker is affiliated with Wabash General Hospital 1.

When was this NPI record last updated?

The NPPES record for Michelle Thacker was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.