MRS. MACY D THILKER FNP
NPI 1770344798
Nurse Practitioner - Family in Troy, IL

Q: What is Macy Thilker's NPI number?

The NPI number for Macy Thilker is 1770344798. It was assigned to this individual provider in the NPPES registry on January 17, 2024.

Q: What is Macy Thilker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Macy Thilker was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 January 17, 2024PECOS Enrolled

619 EDWARDSVILLE RD, TROY, IL 62294(618) 667-1200 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Macy D Thilker Fnp NPPES

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

MRS. MACY D THILKER FNP (NPI 1770344798) is an individual family provider in Troy, Illinois, licensed in Illinois (208.028953) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Gateway Regional Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1770344798

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MACY D THILKERCredential: FNP

Location Address619 EDWARDSVILLE RDTroy, IL 62294-1441

Mailing Address619 Edwardsville RdTroy, IL 62294-1441 · (618) 667-1200

Phone(618) 667-1200

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 17, 2024

Last NPPES UpdateNovember 7, 2024

NPPES CertifiedNovember 7, 2024

✔ NPI 1770344798 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 IL · 208.028953

619 EDWARDSVILLE RD, Troy, IL 62294

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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 (PECOS)

Mrs. Macy D Thilker Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254867138

PECOS Enrollment IDI20241216003228

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 2

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.

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.

25 services23 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.

16 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Gateway Regional Medical Center

Acute Care Hospitals · Granite City, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140125

Location2100 Madison AvenueGranite City, IL 62040 · Madison County

Emergency services

Anderson Hospital

Acute Care Hospitals · Maryville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140289

Location6800 State Route 162Maryville, IL 62062 · Madison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62294 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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

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

DR. BHAVESH PATEL M.D.

Family Medicine

619 EDWARDSVILLE RD
TROY, IL 62294

Madison County (618) 667-1200

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 Macy Thilker's NPI number?

The NPI number for Macy Thilker is 1770344798. It was assigned to this individual provider in the NPPES registry on January 17, 2024.

Where is Macy Thilker located?

Macy Thilker practices at 619 Edwardsville Rd, Troy, IL 62294. The listed phone number is (618) 667-1200.

What is Macy Thilker's specialty?

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

Is Macy Thilker enrolled in Medicare?

Yes. Macy Thilker is registered in the Medicare PECOS enrollment system.

What insurance does Macy Thilker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Macy Thilker 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 Macy Thilker affiliated with any hospitals?

According to CMS data, Macy Thilker is affiliated with Gateway Regional Medical Center and Anderson Hospital.

When was this NPI record last updated?

The NPPES record for Macy Thilker was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.