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TARA L. TACKETT APRN-CNP
NPI 1235585027
Nurse Practitioner - Family in Charleston, WV

Active since May 11, 2016PECOS EnrolledAccepts Medicare Assignment
400 COURT ST STE 100, CHARLESTON, WV 25301(304) 347-6120(304) 347-6142 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 4, 2022, Jan 11, 2021, Apr 10, 2020 and 4 more (7 updates tracked since 2016).

About Tara L. Tackett Aprn-cnp NPPES

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

TARA L. TACKETT APRN-CNP (NPI 1235585027) is an individual family provider in Charleston, West Virginia, licensed in West Virginia (APRN63856-NP-C) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1235585027
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTARA L. TACKETTCredential: APRN-CNP
Location Address400 COURT ST STE 100Charleston, WV 25301
Mailing Address400 Court St Ste 100Charleston, WV 25301-1652 · (304) 347-6120 · Fax (304) 347-6126
Phone(304) 347-6120
Fax(304) 347-6142
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 11, 2016
Last NPPES UpdateSeptember 22, 20257 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2025
✔ NPI 1235585027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in WV · APRN63856-NP-C✔ Licensed in WV · 63856
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN63856-NP-C (WV)
400 COURT ST STE 100, Charleston, WV 25301
Open in Google Maps ↗

Other Names 1

Other Name (5)Tara L. Crowder Rn

Secondary Practice Locations 3

Location 11206 Hospital DrHurricane, WV 25526-8708 · Phone (304) 757-5420 · Fax (304) 757-5421
Location 23200 MacCorkle Ave SE, 4th FLCharleston, WV 25304 · Phone (304) 388-8240 · Fax (304) 388-8238
Location 3701 Madison AveMadison, WV 25130-1669 · Phone (304) 369-4250 · Fax (304) 405-6101

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Tara L. Tackett Aprn-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.

PECOS PAC ID42507030
PECOS Enrollment IDI20160919001756
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Tara Tackett reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Center For Pain Relief, Inc.
Same address
Interventional Pain Medicine
400 COURT ST STE 100
Charleston, WV 25301
  • Reassigned Medicare billing, West Virginia enrollment
  • 6 clinicians in this Medicare group
NPI 1831116375 (304) 347-6120
Charleston Area Medical Center, Inc.
0.6 mi
General Acute Care Hospital
501 MORRIS ST
Charleston, WV 25301
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
NPI 1124248752 (304) 388-3939
Ths Physician Partners Inc
5.0 mi
Internal Medicine
4605 MACCORKLE AVE SW
South Charleston, WV 25309
  • Reassigned Medicare billing, West Virginia enrollment
  • 466 clinicians in this Medicare group
NPI 1871866806 (304) 414-4800
Boone Memorial Hospital, Inc
23 mi
Rural Health
660A S MAIN ST
Madison, WV 25130
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1639135221 (West Virginia)
  • 159 clinicians in this Medicare group
NPI 1801039565 (304) 369-4250

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
353 services230 patients
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.
214 services183 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
153 services128 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
82 services67 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Boone Memorial Hospital

Critical Access Hospitals · Madison, WV
OwnershipGovernment - Local
CMS Certification Number511313
Location701 Madison AvenueMadison, WV 25130 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 9

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

ANUJ A SHAH DO
Pain Medicine (Interventional Pain Medicine)
400 COURT ST STE 100
CHARLESTON, WV 25301
Kanawha County (304) 347-6120
ASHLEY GUNNO COMER APRN-CNP; FNP-C; MSN
Nurse Practitioner (Family)
400 COURT ST STE 100
CHARLESTON, WV 25301
Kanawha County (304) 347-6120
DANIELLE MARIE MOLINA PA-C
Physician Assistant
400 COURT ST STE 100
CHARLESTON, WV 25301
Kanawha County (304) 347-6120
DR. LUCAS ALFONSO BRACERO MD, MBA
Pain Medicine (Pain Medicine)
400 COURT ST STE 100
CHARLESTON, WV 25301
Kanawha County (304) 347-6120
CHRISTOPHER KONKYO KIM MD
Pain Medicine (Interventional Pain Medicine)
400 COURT ST STE 100
CHARLESTON, WV 25301
Kanawha County (304) 347-6120
CENTER FOR PAIN RELIEF, INC.
Pain Medicine (Interventional Pain Medicine)
400 COURT ST STE 100
CHARLESTON, WV 25301
Kanawha County (304) 347-6120
MRS. VERONICA THOMAS APRN, FNP-C
Nurse Practitioner (Family)
400 COURT ST STE 100
CHARLESTON, WV 25301
Kanawha County (304) 347-6120
TIMOTHY RAY DEER MD
Pain Medicine (Interventional Pain Medicine)
400 COURT ST STE 100
CHARLESTON, WV 25301
Kanawha County (304) 347-6120

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 Tara Tackett's NPI number?

The NPI number for Tara Tackett is 1235585027. It was assigned to this individual provider in the NPPES registry on May 11, 2016. The provider is also known as Tara L. Crowder Rn.

Where is Tara Tackett located?

Tara Tackett practices at 400 Court St Ste 100, Charleston, WV 25301. The listed phone number is (304) 347-6120.

What is Tara Tackett's specialty?

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

Is Tara Tackett enrolled in Medicare?

Yes. Tara 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 organizations bill Medicare for Tara Tackett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Tackett reassigns Medicare benefits to 4 organizations: Center For Pain Relief, Inc. (Charleston, WV), Charleston Area Medical Center, Inc. (Charleston, WV), Ths Physician Partners Inc (South Charleston, WV) and Boone Memorial Hospital, Inc (Madison, WV). Each 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 Tara Tackett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tara Tackett accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Tara 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.

Is Tara Tackett affiliated with any hospitals?

According to CMS data, Tara Tackett is affiliated with Thomas Memorial Hospital and Boone Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tara Tackett was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.