HOLLIE MARIE THACKER
NPI 1083232391
Nurse Anesthetist, Certified Registered in Lincoln Park, MI

Active since July 13, 2020Accepts Medicare Assignment
1050 FORD BLVD, LINCOLN PARK, MI 48146(313) 400-0123 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 27, 2023, Jul 13, 2020 (2 updates tracked since 2020).

About Hollie Marie Thacker NPPES

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

HOLLIE MARIE THACKER (NPI 1083232391) is an individual nurse anesthetist, certified registered in Lincoln Park, Michigan, licensed in Michigan (4704278682) and active in the NPI registry since July 2020. She is affiliated with Scheurer Hospital and is a graduate of Other (2020).

NPPES Registry Identity

NPI1083232391
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameHOLLIE MARIE THACKER
Location Address1050 FORD BLVDLincoln Park, MI 48146-4225
Mailing Address1050 Ford BlvdLincoln Park, MI 48146-4225 · (313) 400-0123
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 13, 2020
Last NPPES UpdateFebruary 27, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
✔ NPI 1083232391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MI · 4704278682
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704278682 (MI)
1050 FORD BLVD, Lincoln Park, MI 48146

Accepted 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

Hollie Marie Thacker 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 ID1254743065
PECOS Enrollment IDI20201221001514

Medicare Billing Reassignments

3

Medicare enrollment records show Hollie Thacker reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
4255 N LAKESHORE RD
Port Hope, MI 48468
  • Reassigned Medicare billing, Michigan enrollment
  • 31 clinicians in this Medicare group
Orthopaedic Surgery
75 BUSCHLEN RD
Bad Axe, MI 48413
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1063582831 (Michigan)
  • 70 clinicians in this Medicare group
Anesthesiology
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
  • Reassigned Medicare billing, Michigan enrollment
  • 369 clinicians in this Medicare group

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.

Scheurer Hospital

Critical Access Hospitals · Pigeon, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231310
Location170 N Caseville RdPigeon, MI 48755 · Huron County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48146 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Hollie Thacker's NPI number?

The NPI number for Hollie Thacker is 1083232391. It was assigned to this individual provider in the NPPES registry on July 13, 2020.

Where is Hollie Thacker located?

Hollie Thacker practices at 1050 Ford Blvd, Lincoln Park, MI 48146. The listed phone number is (313) 400-0123.

What is Hollie Thacker's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Hollie Thacker enrolled in Medicare?

Yes. Hollie 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 Hollie Thacker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hollie Thacker reassigns Medicare benefits to 3 organizations: Harbor Beach Community Hospital Inc (Port Hope, MI), Scheurer Hospital (Bad Axe, MI) and Northstar Anesthesia Of Michigan PLLC (Irving, 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 Hollie Thacker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hollie Thacker accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Hollie 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 Hollie Thacker affiliated with any hospitals?

According to CMS data, Hollie Thacker is affiliated with Scheurer Hospital.

When was this NPI record last updated?

The NPPES record for Hollie Thacker was last updated on February 27, 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.