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

Tiffany A Thacker, FNP-C

Individual provider Registered Nurse · NPI 1063957033

Tiffany A Thacker, FNP-C is a Nurse Practitioner in Carmel, Indiana. Qualified in 2015, 11 years ago. Practices with Indianapolis Neurosurgical Group PC, a 50-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
11
Licensed in
IN
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

13345 Illinois St
Carmel, IN 46032-3318
Phone: (317) 396-1300
Fax: (317) 352-3417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71006785A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28178065A (IN)

Record details

NPI number1063957033
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedDecember 30, 2016
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Indianapolis Neurosurgical Group Pc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Carmel