Jackson Thatcher
NPI 1174500177 · Interventional Cardiology Physician · St Louis Park, MN
Enrolled with Medicare as Order and Referring Only - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Thatcher is a Interventional Cardiology Physician provider in St Louis Park, MN (NPI 1174500177).
Provider details
- NPI number
- 1174500177
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- License
- 31870 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-30
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jackson Thatcher's NPI number?
- Jackson Thatcher's National Provider Identifier (NPI) is 1174500177, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Thatcher's specialty?
- Jackson Thatcher is listed in the NPPES registry with a primary specialty of Interventional Cardiology Physician (Allopathic & Osteopathic Physicians).
- Where is Jackson Thatcher located?
- Jackson Thatcher's practice location on file with NPPES is 6500 Excelsior Blvd, St Louis Park, MN 55426-4702.
- What is Jackson Thatcher's phone number?
- The practice phone number listed in the NPPES registry for Jackson Thatcher is (952) 993-3246.
- Does Jackson Thatcher accept Medicare?
- Jackson Thatcher is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jackson Thatcher's NPI active?
- Yes — Jackson Thatcher's NPI (1174500177) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.