KELLY S THAYER APNP
NPI 1780748343
Nurse Practitioner - Family in Tomah, WI

Q: What is Kelly Thayer's NPI number?

The NPI number for Kelly Thayer is 1780748343. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Q: What is Kelly Thayer'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 Kelly Thayer was last updated on January 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 20, 2006PECOS Enrolled

501 GOPHER DR, TOMAH, WI 54660(608) 372-2181 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kelly S Thayer Apnp NPPES

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

KELLY S THAYER APNP (NPI 1780748343) is an individual family provider in Tomah, Wisconsin, licensed in Wisconsin (2899) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Warrens.

NPPES Registry Identity

NPI1780748343

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY S THAYERCredential: APNP

Location Address501 GOPHER DRTomah, WI 54660-4513

Mailing Address501 Gopher DrTomah, WI 54660-4513 · (608) 372-2181

Phone(608) 372-2181

Sole ProprietorNo

Enumeration DateDecember 20, 2006

Last NPPES UpdateJanuary 19, 2021

NPPES CertifiedJanuary 19, 2021

✔ NPI 1780748343 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 WI · 2899

501 GOPHER DR, Tomah, WI 54660

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Secondary Practice Location 1

Location 1101 Unity DrWarrens, WI 54666-6618 · Phone (608) 374-6671

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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)

Kelly S Thayer Apnp 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 54660 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Tubing with integrated heating element for use with positive airway pressure device A4604