Christina Thacker, FNP-C in Roosevelt, UT - Medicare Nurse Practitioner

Christina Thacker, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Roosevelt, Utah. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vernal Urgent Care Llc, Ashley Valley Family Practice and her current practice location is 250 W 300 N, Roosevelt, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 722-4691.

Christina Thacker is licensed to practice in Utah (license number 190006-4405) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699225730.

Contact Information

	Christina Thacker, FNP-C
	250 W 300 N, Roosevelt, UT 84066-2336
	(435) 722-4691
	Not Available

Map and Direction

Provider's Profile

Full Name	Christina Thacker
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	250 W 300 N, Roosevelt, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Christina Thacker graduated from nursing school in 2016

NPI Data:

NPI Number: 1699225730
Provider Enumeration Date: 10/13/2016
Last Update Date: 01/25/2023

Medicare PECOS Information:

PECOS PAC ID: 3476832262
Enrollment ID: I20161118000870

Medical Identifiers

Medical identifiers for Christina Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699225730	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	190006-4405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Uintah Basin Medical Center	Roosevelt, UT	Hospital
Ashley Regional Medical Center	Vernal, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vernal Urgent Care Llc	5193149086	6
Ashley Valley Family Practice	6406881747	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Christina Thacker allows following entities to bill medicare on her behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

Entity Name	Uintah Basin Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871556217 PECOS PAC ID: 0244131944 Enrollment ID: O20040226000948

Entity Name	Ashley Valley Family Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881779809 PECOS PAC ID: 6406881747 Enrollment ID: O20051005000647

Entity Name	Vernal Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376012336 PECOS PAC ID: 5193149086 Enrollment ID: O20200724001464

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christina Thacker is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Christina Thacker, FNP-C 2561 E 1500 S, Vernal, UT 84078-9137 Ph: (435) 828-5954	Christina Thacker, FNP-C 250 W 300 N, Roosevelt, UT 84066-2336 Ph: (435) 722-4691

Reviews and Comments

Nurse Practitioner Nurses in Roosevelt, UT

Lori A Teem, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W 300 N 75-3, Roosevelt, UT 84066 Phone: 435-722-3971 Fax: 435-722-6104
Tanya Sarah Boren, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691
Robert Nielson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691
Tracy Lee Winterton, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 Constitution Dr # 515-5, Roosevelt, UT 84066 Phone: 435-823-0217
Carol F Rasmussen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291
Mr. Samuel Mark Bertoch, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2750 North 2762 West, Roosevelt, UT 84066 Phone: 435-722-9250
Audrie Christine Wisell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-4691

Christina Thacker, FNP-C - Medicare Nurse Practitioner in Roosevelt, UT