WHITNEY JO TACKETT (P.A.) – Physician Assistant, NPI 1295174720

WHITNEY JO TACKETT (P.A.) is a healthcare provider. based in Lexington, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA1824 (KY). The NPI Number for WHITNEY JO TACKETT (P.A.) is 1295174720

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
WHITNEY JO TACKETT (P.A.)
NPI
1295174720
Phone
(859) 323-5908
Address
800 ROSE ST RM M53
Enumeration Date
18 June 2013
Last Update Date
2 February 2018

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
5025702324
Graduation Year
2013 (13 years ago)
PAC ID
1153555727
Group Practice PAC ID
0749450633
Professional Enrollment ID
I20131015000478
Address ID
KY403240000GE175XXDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for WHITNEY JO TACKETT (P.A.)

  • 800 ROSE ST RM M53

    LEXINGTON, KY 405360298

    Phone: (859) 323-5908

    Fax: (859) 323-8056

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $1,037.

Total Amount is formed as General ($1,037) + Research ($0) + Ownership ($0) = $1,037.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($185).

Total Amount

$1,037

General + Research + Ownership

Payments

53

Total payment records

General Amount

$1,037

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-10-15

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
I20131015000478IPhysician AssistantKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3825$0
View full utilization report →

Insurance plans in this area (ZIP 40536)

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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: 0749450633View full group profile
NameSpecialtyState
Family PracticeKY
Cardiovascular Disease (Cardiology), Internal MedicineKY
Family PracticeKY
Nurse PractitionerKY
Physician AssistantKY
Internal Medicine, Pediatric MedicineKY
Internal Medicine, Pediatric MedicineTN
Pulmonary Disease, Critical Care (Intensivists)KY
Physician AssistantKY
Physician AssistantKY

Reviews

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Frequently asked questions

What identifier follows WHITNEY JO TACKETT (P.A.) across health systems?
The NPI 1295174720 uniquely identifies WHITNEY JO TACKETT (P.A.) in U.S. healthcare data.
Does the public listing show WHITNEY JO TACKETT (P.A.) as active?
WHITNEY JO TACKETT (P.A.)'s NPI record reflects an active status in NPPES.
Which specialty label fits WHITNEY JO TACKETT (P.A.)?
NPPES ties WHITNEY JO TACKETT (P.A.) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to WHITNEY JO TACKETT (P.A.)?
The directory associates WHITNEY JO TACKETT (P.A.) with Lexington, Kentucky. Check all listed addresses for suites or satellite offices.
Who maintains WHITNEY JO TACKETT (P.A.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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