Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Robert Slade Thacker, APRNCFNP

Individual provider Family Nurse Practitioner · NPI 1124309224

Robert Slade Thacker, APRNCFNP is a Nurse Practitioner in Caldwell, Idaho. Qualified in 2004, 22 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
22
Licensed in
ID
In the registry since
2011
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Practice location Address checks out

712 Aviation Way
Caldwell, ID 83605-1154
Phone: (208) 302-7100
Fax: (208) 302-7155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1906 Fairview Ave, Caldwell, ID 83605-5407 — (208) 459-4667

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP-1096A (ID)

Record details

NPI number1124309224
Entity typeIndividual (Type 1)
GenderMale
Credentials APRNCFNP
Sole proprietorNo
NPI enumeratedSeptember 1, 2011
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients166
Services billed 946 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $233 12 payments · a meal or drink at a meeting or visit, not a fee
Consulting Fee $150 1 payment

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Saint Alphonsus Regional Medical Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 673 clinicians in the practice; 12 are shown here.

Other providers in Caldwell