Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Thalacker

Individual provider Nurse Practitioner · NPI 1184263451

Kelly Thalacker is a Nurse Practitioner in Easton, Pennsylvania. Qualified in 2019, 7 years ago. Practices with St Lukes Warren Physician Group PC, a 378-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

41 Corporate Dr # 101
Easton, PA 18045-2670
Phone: (610) 559-9330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 755 Memorial Pkwy Ste 202a, Phillipsburg, NJ 08865-2773 — (908) 859-5400
  • 206 E Brown St, East Stroudsburg, PA 18301-3006 — (570) 424-7764

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence SP020519 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP020519 (PA)

Record details

NPI number1184263451
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 3, 2020
Last updated in NPPESApril 14, 2020
Certification dateApril 14, 2020
Mailing address1605 N Cedar Crest Blvd Ste 411, Allentown, PA 18104-2323

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Lukes Warren Physician Group Pc — 378 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Easton