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SARA JUNE TACKETT PA-C
NPI 1255737177
Physician Assistant in Ann Arbor, MI

Active since November 05, 2014PECOS EnrolledAccepts Medicare Assignment
1500 E MEDICAL CENTER DR, 3RD FLOOR CARDIOVASCULAR CENTER, ANN ARBOR, MI 48109(888) 287-1082 Get Directions Write a Review

NPPES record last updated: January 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2019, Mar 13, 2018 (2 updates tracked since 2018).

About Sara June Tackett Pa-c NPPES

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

SARA JUNE TACKETT PA-C (NPI 1255737177) is an individual physician assistant in Ann Arbor, Michigan, licensed in Michigan (5601007129) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health System, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1255737177
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSARA JUNE TACKETTCredential: PA-C
Location Address1500 E MEDICAL CENTER DR, 3RD FLOOR CARDIOVASCULAR CENTERAnn Arbor, MI 48109-5856
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299
Phone(888) 287-1082
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 5, 2014
Last NPPES UpdateJanuary 14, 20192 updates tracked since enumeration
✔ NPI 1255737177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601007129
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.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

Sara June Tackett Pa-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 ID8426310244
PECOS Enrollment IDI20180314002337
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.

Hospital Affiliations CMS Care Compare

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

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230046
Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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.

LOKMAN SUNG MD
Pathology (Forensic Pathology)
1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109
Washtenaw County (800) 862-7284
SAMEER DEV SAINI M.D.
Internal Medicine (Gastroenterology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
KYLE DAVID PERRY MD
Pathology (Cytopathology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
DR. DAVID ALEXANDER STEWART M.D.
Pediatrics
1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109
Washtenaw County (734) 763-5302
DR. MICHAEL EDMUND WATSON MD
Pediatrics (Pediatric Infectious Diseases)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
CARRIE KRAEGER PORTER PA-C
Physician Assistant
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-6666
DENISE LYNN BERRY CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
KETTI SOPHIA PETERSEN MD
Family Medicine (Hospice and Palliative Medicine)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000

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 Sara Tackett's NPI number?

The NPI number for Sara Tackett is 1255737177. It was assigned to this individual provider in the NPPES registry on November 5, 2014.

Where is Sara Tackett located?

Sara Tackett practices at 1500 E Medical Center Dr 3rd Floor Cardiovascular Center, Ann Arbor, MI 48109. The listed phone number is (888) 287-1082.

What is Sara Tackett's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sara Tackett enrolled in Medicare?

Yes. Sara 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.

What insurance does Sara Tackett accept?

Health plans from McLaren Health Plan Community and Priority Health list Sara 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 Sara Tackett affiliated with any hospitals?

According to CMS data, Sara Tackett is affiliated with University Of Michigan Health System.

When was this NPI record last updated?

The NPPES record for Sara Tackett was last updated on January 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.