MR. BRIAN L TACKITT (CRNA) – Certified Registered Nurse Anesthetist, NPI 1518119049

MR. BRIAN L TACKITT (CRNA) is a healthcare provider. based in Hoisington, Kansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 55672 (KS). The NPI Number for MR. BRIAN L TACKITT (CRNA) is 1518119049

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRIAN L TACKITT (CRNA)
NPI
1518119049
Phone
(620) 653-2114
Address
250 W 9th St
Enumeration Date
15 October 2008
Last Update Date
1 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6203432376
Graduation Year
2008 (18 years ago)
PAC ID
9830258730
Group Practice PAC ID
5193638526
Professional Enrollment ID
I20081106000805
Address ID
KS668012590EM1301XANDX601
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

967 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KS

Provider Addresses for MR. BRIAN L TACKITT (CRNA)

  • 250 W 9th St

    Hoisington, KS 675441706

    Phone: (620) 653-2114

    Fax: (620) 653-2350

    Type: Location

  • 7995 W RIVER RD

    HOLCOMB, KS 678519094

    Phone: (620) 277-2811

    Type: Mailing

  • St. Catherine's Hospital, 401, East Spruce Street, Garden City, Finney County, Kansas, 67846, United States

    GARDEN CITY, KS 678465679

    Phone: (620) 272-2610

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081106000805ICertified Registered Nurse Anesthetist (Crna)KSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope4747$0
00812Anesthesia for exam of colon using an endoscope2929$0
00813Anesthesia for procedure on small and large bowel using an endoscope2222$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1716$0
01402Anesthesia for procedure for total knee joint replacement1313$0
View full utilization report →

Insurance plans in this area (ZIP 67544)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193638526View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
Hospitalist, Family PracticeKS
General SurgeryKS
-KS
O B S T E T R I C S/ G Y N E C O L O G YKS
Certified Registered Nurse Anesthetist (Crna)KS
Nurse PractitionerKS
General SurgeryKS
Physician AssistantKS
Physician AssistantKS

Reviews

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Frequently asked questions

Can I cross-check MR. BRIAN L TACKITT (CRNA) using NPI 1518119049?
NPI 1518119049 belongs to MR. BRIAN L TACKITT (CRNA); compare other details if you need extra assurance.
Would MR. BRIAN L TACKITT (CRNA) appear as active to a payer?
You can treat MR. BRIAN L TACKITT (CRNA) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MR. BRIAN L TACKITT (CRNA)?
MR. BRIAN L TACKITT (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Kansas is MR. BRIAN L TACKITT (CRNA) registered?
Use Hoisington, Kansas as the headline location for MR. BRIAN L TACKITT (CRNA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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