KENNETH LEE TACKETT RN, CNP
NPI 1063099554
Nurse Practitioner - Psychiatric/Mental Health in Houston, TX
About Kenneth Lee Tackett Rn, Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH LEE TACKETT RN, CNP (NPI 1063099554) is an individual psychiatric/mental health provider in Houston, Texas, licensed in Texas (1032032) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenneth Lee Tackett Rn, Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Tackett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pearland, TX 77584
- Reassigned Medicare billing, Texas enrollment
- 67 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Tackett's NPI number?
The NPI number for Kenneth Tackett is 1063099554. It was assigned to this individual provider in the NPPES registry on March 29, 2021.
Where is Kenneth Tackett located?
Kenneth Tackett practices at 4300 Dunlavy St Apt 5118, Houston, TX 77006. The listed phone number is (601) 927-7224.
What is Kenneth Tackett's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kenneth Tackett enrolled in Medicare?
Yes. Kenneth Tackett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kenneth Tackett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Tackett reassigns Medicare benefits to Texas Behavioral Health PLLC (Pearland, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Tackett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Tackett accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare and 1 other insurer list Kenneth Tackett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kenneth Tackett was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kenneth Lee Tackett, RN, CNP · NPI 1063099554
Psychiatric/Mental Health physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since March 29, 2021.
## Identity
- **NPI:** 1063099554 (Entity type: Individual)
- **Enumerated:** March 29, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 1032032 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4300 DUNLAVY ST APT 5118, Houston, TX 77006-5441
- **Phone:** (601) 927-7224
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Texas Behavioral Health PLLC (NPI 1881044337, Pearland, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1063099554) · Data from the CMS NPPES public registry.