KELLY THALACKER
NPI 1184263451
Nurse Practitioner - Gerontology in Easton, PA
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
Specialties & Licenses 2
Secondary Practice Locations 2
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Kelly Thalacker reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Easton, PA 18045
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Phillipsburg, NJ 08865
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: St Lukes Warren Physician Group PC
- 528 clinicians in this Medicare group
E Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 500 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.
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.
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, NJSt Luke's Hospital Bethlehem
Acute Care Hospitals · Bethlehem, PASt Luke's Hospital - Easton Campus
Acute Care Hospitals · Easton, PAPhysician 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.
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.
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.
Which organizations bill Medicare for Kelly Thalacker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Thalacker reassigns Medicare benefits to 3 organizations: St Luke's Physician Group, Inc (Easton, PA), St. Luke's Warren Physician Group, PC (Phillipsburg, NJ) and Family Care Centers Inc. (E Stroudsburg, PA). 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 Kelly Thalacker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Thalacker accept?
Health plans from Oscar Health list Kelly 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.
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.
# Kelly Thalacker · NPI 1184263451
Gerontology physician in Easton, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 3, 2020.
## Identity
- **NPI:** 1184263451 (Entity type: Individual)
- **Enumerated:** January 3, 2020
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** SP020519 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 41 CORPORATE DR # 101, Easton, PA 18045-2670
- **Phone:** (610) 559-9330
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St Luke's Physician Group, Inc (NPI 1902406762, Easton, PA); St. Luke's Warren Physician Group, PC (NPI 1043635733, Phillipsburg, NJ); Family Care Centers Inc. (NPI 1669563037, E Stroudsburg, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 14, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1184263451) · Data from the CMS NPPES public registry.