HEATHER D. TACKETT PA-C
NPI 1164649471
Physician Assistant - Surgical in Springfield, MO

Q: What is Heather Tackett's NPI number?

The NPI number for Heather Tackett is 1164649471. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Q: What is Heather Tackett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Heather Tackett was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 19, 2007PECOS EnrolledAccepts Medicare Assignment

3801 S NATIONAL AVE, WEST TOWER, SUITE 700, SPRINGFIELD, MO 65807(417) 885-3888(417) 881-7268 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Heather D. Tackett Pa-c NPPES

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

HEATHER D. TACKETT PA-C (NPI 1164649471) is an individual surgical provider in Springfield, Missouri, licensed in Missouri (2007003918) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1164649471

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameHEATHER D. TACKETTCredential: PA-C

Location Address3801 S NATIONAL AVE, WEST TOWER, SUITE 700Springfield, MO 65807-5210

Mailing AddressPo Box 4024Springfield, MO 65808-4024 · (417) 885-3888 · Fax (417) 881-7268

Phone(417) 885-3888

Fax(417) 881-7268

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateApril 19, 2007

Last NPPES UpdateSeptember 30, 2021

NPPES CertifiedSeptember 30, 2021

✔ NPI 1164649471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in MO · 2007003918✔ Licensed in AR · PA-405

Also ListedPhysician AssistantTaxonomy 363A00000X · License 2007003918 (MO)

3801 S NATIONAL AVE, Springfield, MO 65807

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.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

Heather D. Tackett Pa-c 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 ID6305937319

PECOS Enrollment IDI20070806000488

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 6

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.

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

35 services24 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc 22551

This procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.

13 services13 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

12 services12 patients

Placement of stabilizing device to front, 2-3 spine bone segments 22845

This procedure involves positioning a stabilizing device on the front of 2-3 segments of your spine. It's designed to provide support and stability to your spine, potentially alleviating discomfort and improving mobility.

12 services12 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

12 services12 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cox Medical Centers

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260040

Location3801 South National AvenueSpringfield, MO 65807 · Greene County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

KALEB AFSHAR

Anesthesiology