ASHLEY LILLY THACKER FNP-C
NPI 1679084628
Nurse Practitioner - Family in South Charleston, WV

Active since October 17, 2017PECOS EnrolledAccepts Medicare Assignment
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309(304) 766-5650 Get Directions Write a Review

NPPES record last updated: October 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ashley Lilly Thacker Fnp-c NPPES

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

ASHLEY LILLY THACKER FNP-C (NPI 1679084628) is an individual family provider in South Charleston, West Virginia, licensed in West Virginia (APRN71553-NP-C) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1679084628
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHLEY LILLY THACKERCredential: FNP-C
Location Address4605 MACCORKLE AVE SWSouth Charleston, WV 25309-1311
Mailing Address21 Michael StScott Depot, WV 25560-9534 · (304) 228-7291
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 17, 2017
NPI 1679084628 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 WV · APRN71553-NP-C
4605 MACCORKLE AVE SW, South Charleston, WV 25309

Accepted 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

Ashley Lilly Thacker Fnp-c 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 ID6305374307
PECOS Enrollment IDI20250103001401
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.

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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.

Physician Assistant
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Registered Nurse (Perinatal)
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Physical Therapist
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Physician Assistant (Surgical)
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Family Medicine
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Anesthetist, Certified Registered
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Practitioner (Family)
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Internal Medicine
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309

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 Ashley Thacker's NPI number?

The NPI number for Ashley Thacker is 1679084628. It was assigned to this individual provider in the NPPES registry on October 17, 2017.

Where is Ashley Thacker located?

Ashley Thacker practices at 4605 Maccorkle Ave SW, South Charleston, WV 25309. The listed phone number is (304) 766-5650.

What is Ashley Thacker's specialty?

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

Is Ashley Thacker enrolled in Medicare?

Yes. Ashley 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 Ashley Thacker accept?

Health plans from CareSource list Ashley 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 Ashley Thacker affiliated with any hospitals?

According to CMS data, Ashley Thacker is affiliated with Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ashley Thacker was last updated on October 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.