Jeffery Ray Tackett, APRN, PPCNP-C - Medicare Nurse Practitioner in Las Vegas, NV

  1. Home
  2. Nurse Practitioner
  3. NV
  4. Las Vegas
Jeffery Ray Tackett, APRN, PPCNP-C is a medicare enrolled "Nurse Practitioner - Pediatrics" in Las Vegas, Nevada. His current practice location is 2650 N Tenaya Way Ste 308, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 870-2099.

Jeffery Ray Tackett is licensed to practice in Nevada (license number APRN002155) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376956789.

Contact Information

Jeffery Ray Tackett, APRN, PPCNP-C
2650 N Tenaya Way Ste 308,
Las Vegas, NV 89128-1102
(702) 870-2099
(702) 869-5347

Map and Direction




Provider's Profile

Full NameJeffery Ray Tackett
GenderMale
SpecialityNurse Practitioner - Pediatrics
Location2650 N Tenaya Way Ste 308, Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376956789
  • Provider Enumeration Date: 06/04/2014
  • Last Update Date: 11/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4688990435
  • Enrollment ID: I20200314000260

Medical Identifiers

Medical identifiers for Jeffery Ray Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376956789NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 18745 (Tennessee)Secondary
363LP0200XNurse Practitioner - Pediatrics APRN002155 (Nevada)Primary

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. Jeffery Ray Tackett allows following entities to bill medicare on his behalf.
Entity NameHealthcare Partners Medical Group Coats Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487631917
PECOS PAC ID: 5991866303
Enrollment ID: O20100113000898
Entity NameIntermountain Medical Holdings Nevada Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245997279
PECOS PAC ID: 7416054622
Enrollment ID: O20220214001765

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. Jeffery Ray 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
Jeffery Ray Tackett, APRN, PPCNP-C
6355 S Buffalo Dr Fl 3,
Las Vegas, NV 89113-2133

Ph: (702) 216-3346		Jeffery Ray Tackett, APRN, PPCNP-C
2650 N Tenaya Way Ste 308,
Las Vegas, NV 89128-1102

Ph: (702) 870-2099

Reviews and Comments


Nurse Practitioner Nurses in Las Vegas, NV

Dena Kae Meeter, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7455 W Washington Ave, #160, Las Vegas, NV 89128
Phone: 702-878-0393    Fax: 702-940-5601
Vanesa Francis Cheng, APRN-CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9550 S Eastern Ave Ste 253, Las Vegas, NV 89123
Phone: 888-803-3370    Fax: 661-634-1040
Ms. Lotis Gay Perilla Edano, APRN, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2545 S Bruce St Ste 200, Las Vegas, NV 89169
Phone: 702-732-2438    Fax: 702-733-7876
Jann Stacey Pickens, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 620 Shadow Ln, Las Vegas, NV 89106
Phone: 702-388-4506    Fax: 702-388-4810
Tamaris Samantha Cotta, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9280 W Sunset Rd Ste 400, Las Vegas, NV 89148
Phone: 702-366-1268    Fax: 702-366-7079
Tasha Gouin, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9097 W Post Rd Ste 100, Las Vegas, NV 89148
Phone: 702-430-5333    
Aric Pedro Adaoag, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9816 Gilespie St Ste 550, Las Vegas, NV 89183
Phone: 702-202-6336    Fax: 702-202-6318

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.