HOLLY NICOLE TACKETT APRN
NPI 1134823784
Nurse Practitioner - Family in Chillicothe, OH

Active since March 28, 2023PECOS EnrolledAccepts Medicare Assignment
4439 STATE ROUTE 159 STE G70, CHILLICOTHE, OH 45601(740) 779-4393 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2023, Mar 28, 2023 (2 updates tracked since 2023).

About Holly Nicole Tackett Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY NICOLE TACKETT APRN (NPI 1134823784) is an individual family provider in Chillicothe, Ohio, licensed in Ohio (0032936) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1134823784
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLY NICOLE TACKETTCredential: APRN
Location Address4439 STATE ROUTE 159 STE G70Chillicothe, OH 45601-7203
Mailing Address4439 State Route 159Chillicothe, OH 45601-8207 · (740) 779-4393
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 28, 2023
Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2023
NPI 1134823784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · 0032936
4439 STATE ROUTE 159 STE G70, Chillicothe, OH 45601

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Holly Nicole Tackett Aprn 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.

PECOS PAC ID2860848124
PECOS Enrollment IDI20231024001241
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
4439 STATE ROUTE 159 STE G70
CHILLICOTHE, OH 45601
Otolaryngology
4439 STATE ROUTE 159 STE G70
CHILLICOTHE, OH 45601
Audiologist
4439 STATE ROUTE 159 STE G70
CHILLICOTHE, OH 45601
Audiologist
4439 STATE ROUTE 159 STE G70
CHILLICOTHE, OH 45601
Audiologist
4439 STATE ROUTE 159 STE G70
CHILLICOTHE, OH 45601

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 Holly Tackett's NPI number?

The NPI number for Holly Tackett is 1134823784. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Holly Tackett located?

Holly Tackett practices at 4439 State Route 159 Ste G70, Chillicothe, OH 45601. The listed phone number is (740) 779-4393.

What is Holly Tackett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Holly Tackett enrolled in Medicare?

Yes. Holly 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.

What insurance does Holly Tackett accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Holly 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 Holly Tackett was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.