Amber Tackett, NP-C - Medicare Nurse Practitioner in Fontana, CA

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Amber Tackett, NP-C is a medicare enrolled "Nurse Practitioner" in Fontana, California. She graduated from nursing school in 2022 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mountain View Emergency Physicians Medical Group Inc, Cep America - California, Mountain View Urgent Care Group Inc and her current practice location is 6333 Keystone Way, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (951) 990-9415.

Amber Tackett is licensed to practice in California (license number 95020645) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750023164.

Contact Information

Amber Tackett, NP-C
6333 Keystone Way,
Fontana, CA 92336-4054
(951) 990-9415
Not Available

Map and Direction




Provider's Profile

Full NameAmber Tackett
GenderFemale
SpecialityNurse Practitioner
Experience2 Years
Location6333 Keystone Way, Fontana, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amber Tackett graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1750023164
  • Provider Enumeration Date: 04/07/2022
  • Last Update Date: 04/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1355729641
  • Enrollment ID: I20220526002458

Medical Identifiers

Medical identifiers for Amber Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750023164NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 95020645 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
San Antonio Regional HospitalUpland, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mountain View Emergency Physicians Medical Group Inc509260637626
Cep America - California6103739131974
Mountain View Urgent Care Group Inc721410786133

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amber Tackett allows following entities to bill medicare on her behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548667843
PECOS PAC ID: 6103739131
Enrollment ID: O20040121000458
Entity NameMountain View Emergency Physicians Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619923653
PECOS PAC ID: 5092606376
Enrollment ID: O20040324000887
Entity NameMountain View Urgent Care Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023306784
PECOS PAC ID: 7214107861
Enrollment ID: O20110908002279

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amber Tackett is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amber Tackett, NP-C
6333 Keystone Way,
Fontana, CA 92336-4054

Ph: (951) 990-9415		Amber Tackett, NP-C
6333 Keystone Way,
Fontana, CA 92336-4054

Ph: (951) 990-9415

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.