TWYLA M THALKEN MS, FNP
NPI 1306946611
Nurse Practitioner - Family in Douglas, WY

Active since September 25, 2006PECOS Enrolled
71.67/100
CMS Quality Rating
111 S 5TH ST, DOUGLAS, WY 82633(307) 358-7340(307) 358-7304 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Twyla M Thalken Ms, Fnp NPPES

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

TWYLA M THALKEN MS, FNP (NPI 1306946611) is an individual family provider in Douglas, Wyoming, licensed in Wyoming (17083.0250) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306946611
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTWYLA M THALKENCredential: MS, FNP
Location Address111 S 5TH STDouglas, WY 82633-2434
Mailing Address111 S 5th StDouglas, WY 82633-2434 · (307) 358-7340 · Fax (307) 358-7304
Fax(307) 358-7304
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 19, 2013
NPI 1306946611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WY · 17083.0250
111 S 5TH ST, Douglas, WY 82633

Other Identifiers 4

Other309067WY · Bcbs Of Wyoming
Medicare UPINP38311
Medicare ID-Type UnspecifiedW309067WY
Medicaid120377100WY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Twyla M Thalken Ms, Fnp 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 82633 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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.

71.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.21
Promoting Interoperability79
Improvement Activities40
Cost58.87

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers12 claims21 services$3.94 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers13 claims13 services$70.08 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers13 claims64 services$2.92 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$16.78 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier24 claims24 services$7.26 avg. paid by Medicare
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
5 suppliers56 claims56 services$106.11 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.

Occupational Therapist
111 S 5TH ST
DOUGLAS, WY 82633
Internal Medicine (Cardiovascular Disease)
111 S 5TH ST
DOUGLAS, WY 82633
Physical Therapist
111 S 5TH ST
DOUGLAS, WY 82633
Nurse Anesthetist, Certified Registered
111 S 5TH ST
DOUGLAS, WY 82633
Emergency Medicine
111 S 5TH ST
DOUGLAS, WY 82633
Physical Therapist
111 S 5TH ST
DOUGLAS, WY 82633
Physical Therapist
111 S 5TH ST
DOUGLAS, WY 82633
Orthopaedic Surgery
111 S 5TH ST
DOUGLAS, WY 82633

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 Twyla Thalken's NPI number?

The NPI number for Twyla Thalken is 1306946611. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Twyla Thalken located?

Twyla Thalken practices at 111 S 5th St, Douglas, WY 82633. The listed phone number is (307) 358-7340.

What is Twyla Thalken's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Twyla Thalken enrolled in Medicare?

Yes. Twyla Thalken is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Twyla Thalken was last updated on July 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.