CHERYL NICOLE THACKER AGPCNP-BC
NPI 1336972264
Nurse Practitioner in Jacksonville, FL

Q: What is Cheryl Thacker's NPI number?

The NPI number for Cheryl Thacker is 1336972264. It was assigned to this individual provider in the NPPES registry on August 26, 2024.

Q: What is Cheryl Thacker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Cheryl Thacker was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 August 26, 2024PECOS EnrolledAccepts Medicare Assignment

4866 BIG ISLAND DR UNIT 5, JACKSONVILLE, FL 32246(904) 652-0652 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Cheryl Nicole Thacker Agpcnp-bc NPPES

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

CHERYL NICOLE THACKER AGPCNP-BC (NPI 1336972264) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (11034425) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1336972264

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCHERYL NICOLE THACKERCredential: AGPCNP-BC

Location Address4866 BIG ISLAND DR UNIT 5Jacksonville, FL 32246-5301

Mailing Address4866 Big Island Dr Unit 5Jacksonville, FL 32246-5301 · (904) 652-0652

Phone(904) 652-0652

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 26, 2024

NPPES CertifiedAugust 25, 2024

✔ NPI 1336972264 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 FL · 11034425

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 · Primary CareTaxonomy 363LP2300X · License 11034425 (FL)

4866 BIG ISLAND DR UNIT 5, Jacksonville, FL 32246

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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

Cheryl Nicole Thacker Agpcnp-bc 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 ID6002337656

PECOS Enrollment IDI20250311003245

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.

Hospital Affiliations CMS Care Compare

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32246 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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Other Providers at the Same Location NPPES 7

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

MRS. JESSICA CORNELIA WOODALL APRN

Nurse Practitioner (Family)