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

Michelle Macey Thacker, NP-C

Individual provider Family Nurse Practitioner · NPI 1073003588

Michelle Macey Thacker, NP-C is a Nurse Practitioner in Lawrenceville, Illinois. Qualified in 2018, 8 years ago. Practices with Wabash General Hospital District, a 75-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
8
Licensed in
IL, IN
In the registry since
2018
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

2111 Lexington Ave
Lawrenceville, IL 62439
Phone: (618) 943-7214
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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 71010904A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209017621 (IL)

Record details

NPI number1073003588
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedMay 10, 2018
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023
Mailing address2111 Lexington Ave, Lawrenceville, IL 62439

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Wabash General Hospital District — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lawrenceville