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TIFFANY ANN TACKETT FNP
NPI 1295388486
Nurse Practitioner in Rockwall, TX

Active since July 17, 2019PECOS Enrolled
6701 HERITAGE PKWY STE 165, ROCKWALL, TX 75087(469) 786-5890 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 2, 2020, Jul 17, 2019 (2 updates tracked since 2019).

About Tiffany Ann Tackett Fnp NPPES

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

TIFFANY ANN TACKETT FNP (NPI 1295388486) is an individual nurse practitioner in Rockwall, Texas, licensed in Texas (957191) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rockwall.

NPPES Registry Identity

NPI1295388486
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTIFFANY ANN TACKETTCredential: FNP
Location Address6701 HERITAGE PKWY STE 165Rockwall, TX 75087-8700
Mailing Address6701 Heritage Pkwy Ste 165Rockwall, TX 75087-8700 · (469) 786-5890
Phone(469) 786-5890
Sole ProprietorNo
Enumeration DateJuly 17, 2019
Last NPPES UpdateMarch 2, 20202 updates tracked since enumeration
NPPES CertifiedMarch 2, 2020
✔ NPI 1295388486 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 TX · 957191
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.
6701 HERITAGE PKWY STE 165, Rockwall, TX 75087
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Secondary Practice Location 1

Location 16701 Heritage Pkwy Ste 165Rockwall, TX 75087-8700 · Phone (469) 786-5890

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Ann Tackett Fnp 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 Tiffany Tackett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Syed Mansoor Hussaini MD PA
Same address
Neurology
6701 HERITAGE PKWY STE 165
Rockwall, TX 75087
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
NPI 1053776856 (469) 786-5890

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 75087 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

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

SYED MANSOOR HUSSAINI MD PA
Psychiatry & Neurology (Neurology)
6701 HERITAGE PKWY STE 165
ROCKWALL, TX 75087
Rockwall County (469) 786-5890

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 Tiffany Tackett's NPI number?

The NPI number for Tiffany Tackett is 1295388486. It was assigned to this individual provider in the NPPES registry on July 17, 2019.

Where is Tiffany Tackett located?

Tiffany Tackett practices at 6701 Heritage Pkwy Ste 165, Rockwall, TX 75087. The listed phone number is (469) 786-5890.

What is Tiffany Tackett's specialty?

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

Is Tiffany Tackett enrolled in Medicare?

Yes. Tiffany Tackett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tiffany Tackett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Tackett reassigns Medicare benefits to Syed Mansoor Hussaini MD PA (Rockwall, TX). The 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 Tiffany Tackett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tiffany Tackett was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.