MS. JEANINE MARIE TACKLA APRN, MSN, A-GNP-C,
NPI 1255612537
Nurse Practitioner - Gerontology in Keller, TX
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
Specialties & Licenses 2
Other Names 1
Other Identifiers 5
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jeanine Tackla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Decatur, TX 76234
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Christine Holland, M.D., P. A.
- 59 clinicians in this Medicare group
Lakeway, TX 78734
- Reassigned Medicare billing, Texas enrollment
- 7 clinicians in this Medicare group
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 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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KELLER, TX 76248
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.
Which organizations bill Medicare for Jeanine Tackla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeanine Tackla reassigns Medicare benefits to 2 organizations: Christine Holland MD PA (Decatur, TX) and Lakeway Medical Clinic, LLC (Lakeway, TX). 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 Jeanine Tackla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeanine Tackla accept?
Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and WellPoint 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Ms. Jeanine Marie Tackla, APRN, MSN, A-GNP-C, · NPI 1255612537
Gerontology physician in Keller, Texas. Individual provider, active in the CMS NPPES registry since August 31, 2011.
## Identity
- **NPI:** 1255612537 (Entity type: Individual)
- **Enumerated:** August 31, 2011
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 1114749 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8739 DAVIS BLVD STE 100, Keller, TX 76248-0309
- **Phone:** (817) 476-1226
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Christine Holland MD PA (NPI 1962677740, Decatur, TX); Lakeway Medical Clinic, LLC (NPI 1265190235, Lakeway, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 17, 2026
- **Other identifiers:** Other 041214374 (IL); Other 95094533 (CA); Other 095692; and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1255612537) · Data from the CMS NPPES public registry.