Andrea L Thacker, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G182876 Issued in IA

Practice address

801 Harmony St Ste 302
Council Bluffs, IA 51503-3106

Phone

(712) 328-2690

Fax

(712) 328-9257

NPI assigned

Jan 21, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alegent Creighton HealthGroup PAC ID 1850285255, 137 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alegent Creighton Health

  dba CHI Health Psychiatric Associates

  • Psychiatry Physician
  • Council Bluffs, IA
  • NPI 1770922437
  Medicare reassignment Care Compare group NPD
• Alegent Creighton Health

  dba CHI Health

  • Community/Retail Pharmacy
  • Lincoln, NE
  • NPI 1598423220
  NPD
• Alegent Health Bergan Mercy Health System

  dba Alegent Health Mercy Hospital - Psychiatric Unit

  • Psychiatric Hospital Unit
  • Council Bluffs, IA
  • NPI 1437384799
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1457163248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 MERCY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242311",
            "telephone_number": "402-398-6248",
            "fax_number": "712-328-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HARMONY ST STE 302",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033106",
            "telephone_number": "712-328-2690",
            "fax_number": "712-328-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKER",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G182876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Neumann, O.D.
• Taylor Vision PC
• Matthew Taylor, O.D.
• Daniel Teague, RPH
• Tanner James Templin, DDS
• Arianna Thacker, LPN
• The Collaborative Adult Relationship Experiences Group, LLC
• The Inroads Foundation
• The Phoenix Group, LLC (The Phoenix Group)
• The Rose of Council Bluffs, L.P.

• Psychiatric/Mental Health Nurse Practitioner in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.