Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Thalacker

Individual provider Nurse Practitioner · NPI 1184263451

Kelly Thalacker is a Nurse Practitioner in Easton, Pennsylvania. Qualified in 2019, 7 years ago. Practices with St Lukes Warren Physician Group PC, a 378-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

41 Corporate Dr # 101
Easton, PA 18045-2670
Phone: (610) 559-9330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 755 Memorial Pkwy Ste 202a, Phillipsburg, NJ 08865-2773 — (908) 859-5400
  • 206 E Brown St, East Stroudsburg, PA 18301-3006 — (570) 424-7764

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence SP020519 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP020519 (PA)

Record details

NPI number1184263451
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 3, 2020
Last updated in NPPESApril 14, 2020
Certification dateApril 14, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Lukes Warren Physician Group Pc — 378 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Easton