Individual provider Active NPI

Jamie Thacker, CNP

  • Family Nurse Practitioner
  • Marion, OH
National Provider Identifier
1710639679
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0030648 Issued in OH
Practice address
278 Barks Rd W
Marion, OH 43302-7367
Phone
(740) 383-7080
NPI assigned
Jan 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN.CNP.0030648 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0030648 OH Primary

Addresses

Primary practice location

278 Barks Rd W
Marion, OH 43302-7367

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other practice location 1

1069 Delaware Ave
Marion, OH 43302-1400
Phone (740) 223-3496

Other practice location 2

1713 Marion Mount Gilead Rd Ste 108
Marion, OH 43302-7868
Phone (740) 383-7080

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jamie.thacker@mipallc.com
Direct Messaging Address jroth153012@direct.ohiohealth.com Marion Area Physicians LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20220221001502 OH Practitioner - Nurse Practitioner 9931593738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion Area Physicians LLCGroup PAC ID 1850549437, 179 clinicians

Practice addresses (Care Compare)

1713 Marion Mount Gilead Rd
Suite 108
Marion, OH 43302-7868
Phone (740) 383-7080

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Feb 1, 2026 Accepting new patients
Marion Area Physicians LLC Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Ohiohealth Corporation CurrentSince Feb 1, 2026 Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

1167 Independence Ave
Ste 100
Marion, OH 43302
Phone (740) 387-7200

1713 Marion Mount Gilead Rd
Ste 108
Marion, OH 43302
Phone (740) 383-7080

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

278 Barks Rd W
Marion, OH 43302
Phone (740) 383-7080

900 Meadow Dr
Ste A
Mount Gilead, OH 43338
Phone (567) 876-6360

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1710639679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 BARKS RD W",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027367",
            "telephone_number": "740-383-7080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1069 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433021400",
            "country_code": "US",
            "telephone_number": "740-223-3496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1713 Marion Mount Gilead Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433027868",
            "country_code": "US",
            "telephone_number": "740-383-7080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THACKER",
        "first_name": "JAMIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "APRN.CNP.0030648",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamie.thacker@mipallc.com",
            "affiliation": "N",
            "address_1": "1065 Delaware Ave",
            "city": "Marion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433026461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jroth153012@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "Marion Area Physicians LLC",
            "address_1": "278 Barks Rd W",
            "city": "Marion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433027367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.