KELLY THALACKER
NPI 1184263451
Nurse Practitioner - Gerontology in Easton, PA

Q: What is Kelly Thalacker's NPI number?

The NPI number for Kelly Thalacker is 1184263451. It was assigned to this individual provider in the NPPES registry on January 3, 2020.

Q: What is Kelly Thalacker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Thalacker was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 03, 2020PECOS EnrolledAccepts Medicare Assignment

95.64/100

CMS Quality Rating

41 CORPORATE DR # 101, EASTON, PA 18045(610) 559-9330 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 14, 2020, Jan 3, 2020 (2 updates tracked since 2020).

On this page

About Kelly Thalacker NPPES

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

KELLY THALACKER (NPI 1184263451) is an individual gerontology provider in Easton, Pennsylvania, licensed in Pennsylvania (SP020519) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184263451

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameKELLY THALACKER

Location Address41 CORPORATE DR # 101Easton, PA 18045-2670

Mailing Address1605 N Cedar Crest Blvd Ste 411Allentown, PA 18104-2323 · (610) 969-1915 · Fax (484) 664-7659

Phone(610) 559-9330

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 3, 2020

Last NPPES UpdateApril 14, 20202 updates tracked since enumeration

NPPES CertifiedApril 14, 2020

✔ NPI 1184263451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in PA · SP020519

Also ListedNurse PractitionerTaxonomy 363L00000X · License SP020519 (PA)

41 CORPORATE DR # 101, Easton, PA 18045

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Secondary Practice Locations 2

Location 1755 Memorial Pkwy Ste 202APhillipsburg, NJ 08865-2773 · Phone (908) 859-5400

Location 2206 E Brown StEast Stroudsburg, PA 18301-3006 · Phone (570) 424-7764 · Fax (570) 421-0760

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Thalacker 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 ID5294162087

PECOS Enrollment IDI20200217000397, I20210302002057

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

149 services144 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

76 services74 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

19 services15 patients

Hospital Affiliations CMS Care Compare 3

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310060

Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County

Emergency services

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

St Luke's Hospital - Easton Campus

Acute Care Hospitals · Easton, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390162

Location250 South 21st StreetEaston, PA 18042 · Northampton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18045 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

95.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.57

Promoting Interoperability

100

Improvement Activities

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 Kelly Thalacker's NPI number?

The NPI number for Kelly Thalacker is 1184263451. It was assigned to this individual provider in the NPPES registry on January 3, 2020.

Where is Kelly Thalacker located?

Kelly Thalacker practices at 41 Corporate Dr # 101, Easton, PA 18045. The listed phone number is (610) 559-9330.

What is Kelly Thalacker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kelly Thalacker enrolled in Medicare?

Yes. Kelly Thalacker 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.

Is Kelly Thalacker affiliated with any hospitals?

According to CMS data, Kelly Thalacker is affiliated with St Luke's Warren Hospital, St Luke's Hospital Bethlehem and St Luke's Hospital - Easton Campus.

When was this NPI record last updated?

The NPPES record for Kelly Thalacker was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.