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

Q: 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.

Q: What is Tara Tackett's specialty?

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

Q: 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 10 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.

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: August 02, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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

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

23 services23 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

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)