Doctor profile · Federal record
Dr. Jamie Thacker
Family Nurse Practitioner (CMS: Nurse Practitioner) · Mishawaka, IN
- NPI 1548998131
- Accepts Medicare
- 4 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4630 Vistula RD
Mishawaka, IN 465444000
(574) 647-1900
fax (574) 647-7289 - Mailing address
-
3245 Health Dr Ste 100
Granger, IN 465301380
Credentials & registration
- NPI registered
- August 2022 — 4 yrs on file
- Profile last updated
- November 30, 2023
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Indiana #28202077A
- Medicaid
- IN #300083152
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1548998131. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$326
Transactions
19
Manufacturers
8
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Lilly USA, LLC | 6 | $90.42 | |
| AstraZeneca Pharmaceuticals Lp | 3 | $57.31 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 3 | $49.63 | |
| Novo Nordisk INC | 2 | $39.12 | |
| Merck Sharp & Dohme LLC | 2 | $33.62 | |
| Pfizer INC. | 1 | $21.83 | |
| Amgen INC. | 1 | $20.73 | |
| Abbott Laboratories | 1 | $13.59 |
By nature of payment
Frequently asked questions
What is Dr. Jamie Thacker's medical specialty?
Dr. Jamie Thacker practices Family Nurse Practitioner in Mishawaka, IN.
Where does Dr. Jamie Thacker practice?
Dr. Jamie Thacker practices at 4630 Vistula RD, Mishawaka, IN 465444000. Office phone: 5746471900.
What is Dr. Jamie Thacker's NPI?
Dr. Jamie Thacker's National Provider Identifier (NPI) is 1548998131, issued by NPPES.
Does Dr. Jamie Thacker accept Medicare assignment?
Yes. Dr. Jamie Thacker accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.