ANGELA TACKETT NP
NPI 1255375184
Nurse Practitioner in Wheelersburg, OH

Q: What is Angela Tackett's NPI number?

The NPI number for Angela Tackett is 1255375184. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Q: What is Angela Tackett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Angela Tackett was last updated on June 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 June 14, 2006PECOS Enrolled

8770 OHIO RIVER RD, WHEELERSBURG, OH 45694(740) 574-9090 Get Directions Write a Review

NPPES record last updated: June 3, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Angela Tackett Np NPPES

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

ANGELA TACKETT NP (NPI 1255375184) is an individual nurse practitioner in Wheelersburg, Ohio, licensed in Ohio (00063) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255375184

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameANGELA TACKETTCredential: NP

Location Address8770 OHIO RIVER RDWheelersburg, OH 45694-1918

Mailing Address2000 Green Rd, Suite 300Ann Arbor, MI 48105-1598 · (734) 995-3764

Phone(740) 574-9090

Sole ProprietorNo

Enumeration DateJune 14, 2006

Last NPPES UpdateJune 3, 2008

✔ NPI 1255375184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · 00063

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

8770 OHIO RIVER RD, Wheelersburg, OH 45694

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Other Identifiers 1

Medicare UPINS38845

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Tackett Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Angela Tackett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Epmg Of Ohio Inc P A

6.6 mi

Emergency Medicine

1805 27TH ST
Portsmouth, OH 45662

Reassigned Medicare billing, Ohio enrollment
54 clinicians in this Medicare group

NPI 1841232196 (954) 939-5000

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 45694 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 20

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

MRS. SHONA M WILLIAMS

Pharmacy Technician