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MS. JEANINE MARIE TACKLA APRN, MSN, A-GNP-C,
NPI 1255612537
Nurse Practitioner - Gerontology in Keller, TX

Active since August 31, 2011PECOS EnrolledAccepts Medicare Assignment
8739 DAVIS BLVD STE 100, KELLER, TX 76248(817) 476-1226 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Jeanine Marie Tackla Aprn, Msn, A-gnp-c, NPPES

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

MS. JEANINE MARIE TACKLA APRN, MSN, A-GNP-C, (NPI 1255612537) is an individual gerontology provider in Keller, Texas, licensed in Texas (1114749) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255612537
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMS. JEANINE MARIE TACKLACredential: APRN, MSN, A-GNP-C,
Location Address8739 DAVIS BLVD STE 100Keller, TX 76248-0309
Mailing Address8408 Fort Union CtFt Worth, TX 76137-5754 · (847) 224-9722
Phone(817) 476-1226
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 31, 2011
Last NPPES UpdateMarch 17, 2026
NPPES CertifiedMarch 17, 2026
✔ NPI 1255612537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · 1114749
Also ListedRegistered Nurse · Registered Nurse First AssistantTaxonomy 163WR0006X · License 095692 (IL)
8739 DAVIS BLVD STE 100, Keller, TX 76248
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Other Names 1

Former Name (1)Ms. Jeanine Marie Walkenhorst Rn

Other Identifiers 5

Other041214374IL · Registered Professional Nurse
Other95094533CA · Registered Professional Nurse
Other095692Cnor, Crnfa
Other1114749TX · Aprn-cnp
Other915559TX · Registered Professional Nurse

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Ms. Jeanine Marie Tackla Aprn, Msn, A-gnp-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 ID2163878786
PECOS Enrollment IDI20231101003855
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 9

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 services285 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
310 services31 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.
98 services94 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
94 services25 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
70 services43 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76248 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

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 Jeanine Tackla's NPI number?

The NPI number for Jeanine Tackla is 1255612537. It was assigned to this individual provider in the NPPES registry on August 31, 2011. The provider is also known as Ms. Jeanine Marie Walkenhorst Rn.

Where is Jeanine Tackla located?

Jeanine Tackla practices at 8739 Davis Blvd Ste 100, Keller, TX 76248. The listed phone number is (817) 476-1226.

What is Jeanine Tackla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jeanine Tackla enrolled in Medicare?

Yes. Jeanine Tackla 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 Jeanine Tackla accept?

Health plans from Blue Cross and Blue Shield of Texas list Jeanine Tackla 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 Jeanine Tackla was last updated on March 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.