KAYLA M TACKETT (NP-C) – Nurse Practitioner, NPI 1013502798

KAYLA M TACKETT (NP-C) is a healthcare provider. based in Proctorville, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 117983 (WV). The NPI Number for KAYLA M TACKETT (NP-C) is 1013502798

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KAYLA M TACKETT (NP-C)
NPI
1013502798
Phone
(740) 451-4000
Address
6276 County Road 107
Enumeration Date
4 March 2021
Last Update Date
27 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3044291088
Graduation Year
2020 (6 years ago)
PAC ID
3072920545
Group Practice PAC ID
0648694596
Professional Enrollment ID
I20210329002550
Address ID
OH456941923WH8991XRDXX400

Contacts

Secure Messaging
Kayla.tackett@somc.medicity.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:5State licenses:2Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

Provider Addresses for KAYLA M TACKETT (NP-C)

  • 6276 County Road 107

    Proctorville, OH 456698867

    Phone: (740) 451-4000

    Type: Location

  • 936 State Route 160

    Gallipolis, OH 456318243

    Phone: (740) 446-4600

    Type: Location

  • PO BOX 327

    HUNTINGTON, WV 257080327

    Phone: (304) 429-1088

    Type: Mailing

  • 8991 OHIO RIVER RD

    WHEELERSBURG, OH 456941923

    Phone: (740) 716-7086

    Type: Location

  • 1423 3rd Ave

    Huntington, WV 257011614

    Phone: (304) 429-1088

    Type: Location

  • 1735 27TH ST STE B06

    PORTSMOUTH, OH 456622681

    Phone: (740) 356-7942

    Fax: (740) 356-7851

    Type: Mailing

  • 1248 KINNEYS LN

    PORTSMOUTH, OH 456622927

    Phone: (740) 356-7290

    Fax: (740) 356-7938

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 115 Open Payments records for all available years, with a total value of $1,908.

Total Amount is formed as General ($1,908) + Research ($0) + Ownership ($0) = $1,908.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($403).

Total Amount

$1,908

General + Research + Ownership

Payments

115

Total payment records

General Amount

$1,908

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: 2021-03-29

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
I20210329002550INurse PractitionerOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5958$0
99213Established patient office or other outpatient visit, 20-29 minutes4644$0
View full utilization report →

Insurance plans in this area (ZIP 45669)

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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: 0648694596View full group profile
NameSpecialtyState
Mental Health CounselorGA
C H I R O P R A C T I CWV
Nurse PractitionerKY
Nurse PractitionerKY
Clinical Social WorkerOH
Nurse PractitionerWV
Mental Health CounselorWV

Reviews

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Frequently asked questions

Can I cross-check KAYLA M TACKETT (NP-C) using NPI 1013502798?
NPI 1013502798 belongs to KAYLA M TACKETT (NP-C); compare other details if you need extra assurance.
Would KAYLA M TACKETT (NP-C) appear as active to a payer?
You can treat KAYLA M TACKETT (NP-C) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe KAYLA M TACKETT (NP-C)'s focus?
For KAYLA M TACKETT (NP-C), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KAYLA M TACKETT (NP-C)?
Travel planning: use Proctorville, Ohio as the reference point for KAYLA M TACKETT (NP-C), then confirm.
What does 7 location(s) imply?
7 practice locations appear in the available data.

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