MARIA TACKETT (APRN) – Family Nurse Practitioner, NPI 1215779368

MARIA TACKETT (APRN) is a healthcare provider. based in Pikeville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 4022810 (KY). The NPI Number for MARIA TACKETT (APRN) is 1215779368

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
MARIA TACKETT (APRN)
NPI
1215779368
Phone
(606) 639-3135
Address
178 Douglas Pkwy
Enumeration Date
10 June 2024
Last Update Date
13 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6063495126
Graduation Year
2024 (2 years ago)
PAC ID
6709322068
Group Practice PAC ID
1951211218
Professional Enrollment ID
I20240723000942
Address ID
KY414657509SA452XXWAYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for MARIA TACKETT (APRN)

  • 178 Douglas Pkwy

    Pikeville, KY 415016970

    Phone: (606) 639-3135

    Fax: (606) 639-3136

    Type: Location

  • 23 Willow Dr

    Auxier, KY 416029259

    Phone: (606) 886-8997

    Type: Location

  • 7629 Ky Route 979

    Grethel, KY 416316304

    Phone: (606) 587-2200

    Type: Location

  • 6500 Hwy 645

    Ste 110

    Inez, KY 41224

    Phone: (606) 298-3412

    Type: Location

  • 450 S Mayo Trl

    Paintsville, KY 412401220

    Phone: (606) 887-6145

    Type: Location

  • 1709 KY ROUTE 321

    PRESTONSBURG, KY 416539097

    Phone: (606) 886-8546

    Fax: (606) 886-8548

    Type: Mailing

  • 214 BERIAH BLVD

    SALYERSVILLE, KY 414657509

    Phone: (606) 349-5126

    Fax: (606) 349-5123

    Type: Location

  • 246 Ky Route 979

    Harold, KY 416359046

    Phone: (606) 478-2200

    Fax: (866) 310-9947

    Type: Location

  • 50 Weddington Branch Rd Ste B

    Pikeville, KY 415013296

    Phone: (606) 637-6377

    Type: Location

  • 136 Park Rd

    Freeburn, KY 415288718

    Phone: (606) 984-5484

    Type: Location

  • 940 Parkway Dr

    Salyersville, KY 414659251

    Phone: (606) 349-5126

    Fax: (606) 349-5123

    Type: Location

  • 452 Tom Frazier Way

    Salyersville, KY 414657704

    Phone: (606) 349-5126

    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: 2024-07-23

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
I20240723000942INurse PractitionerKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 41501)

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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: 1951211218View full group profile
NameSpecialtyState
P O D I A T R YKY
-KY
O B S T E T R I C S/ G Y N E C O L O G YKY
Physician AssistantKY
Clinical Social WorkerKY
Nurse PractitionerKY
Family PracticeKY
Nurse PractitionerKY
Nurse PractitionerKY
-KY

Reviews

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Frequently asked questions

What NPI should I save for MARIA TACKETT (APRN)?
Save NPI 1215779368 if you need a stable reference for MARIA TACKETT (APRN).
Does this profile mean MARIA TACKETT (APRN) is currently active?
Yes — MARIA TACKETT (APRN) appears active in the national provider directory.
What field does MARIA TACKETT (APRN) work in?
You can think of MARIA TACKETT (APRN) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MARIA TACKETT (APRN)?
The snapshot lists Pikeville, Kentucky for MARIA TACKETT (APRN); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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