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GWENDOLYN IRENE THACKER CNP
NPI 1619302791
Nurse Practitioner in Miamisburg, OH

Active since September 09, 2013PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
4000 MIAMISBURG CENTERVILLE RD, SUITE 110, MIAMISBURG, OH 45342(937) 865-9000(937) 865-9002 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gwendolyn Irene Thacker Cnp NPPES

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

GWENDOLYN IRENE THACKER CNP (NPI 1619302791) is an individual nurse practitioner in Miamisburg, Ohio, licensed in Ohio (COA.14947-NP) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of University Of Cincinnati College Of Medicine (2013).

NPPES Registry Identity

NPI1619302791
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameGWENDOLYN IRENE THACKERCredential: CNP
Location Address4000 MIAMISBURG CENTERVILLE RD, SUITE 110Miamisburg, OH 45342-7615
Mailing Address4000 Miamisburg Centerville Rd Ste 110Miamisburg, OH 45342-3674 · (937) 865-9000 · Fax (937) 865-9002
Phone(937) 865-9000
Fax(937) 865-9002
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2013
Enumeration DateSeptember 9, 2013
Last NPPES UpdateNovember 17, 2020
NPPES CertifiedNovember 17, 2020
✔ NPI 1619302791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · COA.14947-NP
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.
4000 MIAMISBURG CENTERVILLE RD, Miamisburg, OH 45342
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Gwendolyn Irene Thacker Cnp 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 ID3779717731
PECOS Enrollment IDI20131004000284
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 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,393 services178 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
402 services200 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.
214 services172 patients
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
151 services32 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
75 services66 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
49 services43 patients

Hospital Affiliations CMS Care Compare 3

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45342 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

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.

DR. JENICE V WATTS PHARM.D.
Pharmacist
4000 MIAMISBURG CENTERVILLE RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-4844
DR. JODI LYNNE VAN JURA M.D.
Family Medicine
4000 MIAMISBURG CENTERVILLE RD, SUITE 410
MIAMISBURG, OH 45342
Montgomery County (937) 384-8773
NIRMALA ROSE ABRAHAM MD
Pain Medicine (Pain Medicine)
4000 MIAMISBURG CENTERVILLE RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-4511
KRISTINE A SCORDO NP
Nurse Practitioner (Acute Care)
4000 MIAMISBURG CENTERVILLE RD, SUITE 100
MIAMISBURG, OH 45342
Montgomery County (937) 643-9939
DR. FRANK J FASANO JR. M.D.
Orthopaedic Surgery
4000 MIAMISBURG CENTERVILLE RD, SUITE 110
MIAMISBURG, OH 45342
Montgomery County (937) 865-9000
KETTERING INDEPENDENT MEDICAL GROUP INC
Durable Medical Equipment & Medical Supplies
4000 MIAMISBURG CENTERVILLE RD, STE. 230
MIAMISBURG, OH 45342
Montgomery County (937) 384-0790
ROSALIND J MASCALL M.D.
Obstetrics & Gynecology
4000 MIAMISBURG CENTERVILLE RD, STE. 200
MIAMISBURG, OH 45342
Montgomery County (937) 293-5200
LIFECARE HOSPITALS OF DAYTON INC
Long Term Care Hospital
4000 MIAMISBURG CENTERVILLE RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-8300

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 Gwendolyn Thacker's NPI number?

The NPI number for Gwendolyn Thacker is 1619302791. It was assigned to this individual provider in the NPPES registry on September 9, 2013.

Where is Gwendolyn Thacker located?

Gwendolyn Thacker practices at 4000 Miamisburg Centerville Rd Suite 110, Miamisburg, OH 45342. The listed phone number is (937) 865-9000.

What is Gwendolyn Thacker's specialty?

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

Is Gwendolyn Thacker enrolled in Medicare?

Yes. Gwendolyn 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.

What insurance does Gwendolyn Thacker accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Gwendolyn 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 Gwendolyn Thacker affiliated with any hospitals?

According to CMS data, Gwendolyn Thacker is affiliated with Kettering Health Main Campus, Kettering Health Dayton and Kettering Health Miamisburg.

When was this NPI record last updated?

The NPPES record for Gwendolyn Thacker was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.