Robert Slade Thacker, APRN CFNP - Medicare Nurse Practitioner in Caldwell, ID

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Robert Slade Thacker, APRN CFNP is a medicare enrolled "Nurse Practitioner - Family" in Caldwell, Idaho. He graduated from nursing school in 2004 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice West Valley Medical Group Llc and his current practice location is 712 Aviation Way, Caldwell, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 302-7100.

Robert Slade Thacker is licensed to practice in Idaho (license number NP-1096A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124309224.

Contact Information

Robert Slade Thacker, APRN CFNP
712 Aviation Way,
Caldwell, ID 83605-1154
(208) 302-7100
(208) 302-7155

Map and Direction




Provider's Profile

Full NameRobert Slade Thacker
GenderMale
SpecialityNurse Practitioner
Experience21 Years
Location712 Aviation Way, Caldwell, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Robert Slade Thacker graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1124309224
  • Provider Enumeration Date: 09/01/2011
  • Last Update Date: 08/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7517126659
  • Enrollment ID: I20120309000325

Medical Identifiers

Medical identifiers for Robert Slade Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124309224NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP-1096A (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
West Valley Medical CenterCaldwell, IDHospital
St Luke's Regional Medical CenterBoise, IDHospital
Saint Alphonsus Medical Center - NampaNampa, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
West Valley Medical Group Llc872918031012

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. Robert Slade Thacker allows following entities to bill medicare on his behalf.
Entity NameWest Valley Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871673798
PECOS PAC ID: 8729180310
Enrollment ID: O20070228000567
Entity NameCarepoint Health Emergency Medicine Idaho Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285275461
PECOS PAC ID: 6406283860
Enrollment ID: O20200224002457

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. Robert Slade 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 AddressPractice Location Address
Robert Slade Thacker, APRN CFNP
1906 Fairview Ave, Ste. 230,
Caldwell, ID 83605-5407

Ph: (208) 459-4667		Robert Slade Thacker, APRN CFNP
712 Aviation Way,
Caldwell, ID 83605-1154

Ph: (208) 302-7100

Reviews and Comments


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Mark Berger, NP
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Phone: 208-514-2528    Fax: 208-375-2217
Cynthia Jane Floyd, FNP-BC
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Ashley Fae White, NP
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Virginia Holmgren, PMHNP
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Medicare: May Accept Medicare Assignments
Practice Location: 808 Cleveland Blvd, Caldwell, ID 83605
Phone: 208-459-1025    Fax: 208-466-5359
Mrs. Deborah Lee Sullivan, ARNP
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Medicare: Medicare Enrolled
Practice Location: 211 E Logan St, Suite 105, Caldwell, ID 83605
Phone: 208-454-0567    Fax: 208-402-6635
Lynette Joy Ages, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 1818 S 10th Ave Ste 200, Caldwell, ID 83605
Phone: 208-453-6417    Fax: 208-453-6419

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.