Kelsey Marie Thacker
Kelsey Marie Thacker is a Nurse Practitioner in Mt Zion, Illinois. Qualified in 2016, 10 years ago. Practices with Decatur Orthopedic Center LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 10
- Licensed in
- IL
- In the registry since
- 2017
Practice location Address checks out
104 E Ashland AveMt Zion, IL 62549-1271
Phone: (217) 864-2665
Fax: (217) 864-8042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 209015926 (IL) |
|---|
Record details
| NPI number | 1245765296 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 27, 2017 |
| Last updated in NPPES | April 27, 2017 |
| Mailing address | 104 Ashland Avenue, Mt. Zion, IL 62549 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Decatur Orthopedic Center Llc — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Mt Zion
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Maddison Rae Maxedon, APRN
104 E Ashland Ave, Mt Zion, IL 62549-1271 · (217) 864-2665
-
Joseph Thomas Meyers, MSN, APN, FNP-C
104 E Ashland Ave, Mt Zion, IL 62549-1271 · (217) 864-2665
-
Kim Miller, APN/CNP
1200 N State Highway 121, Mt Zion, IL 62549-1224 · (217) 864-5531