BONNIE A TACKETT MD
NPI 1346688405
Family Medicine in Atchison, KS

Q: What is Bonnie Tackett's NPI number?

The NPI number for Bonnie Tackett is 1346688405. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Q: What is Bonnie Tackett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Bonnie Tackett was last updated on March 20, 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.

Active since June 11, 2013PECOS EnrolledAccepts Medicare Assignment

800 RAVENHILL DR STE 100&107, ATCHISON, KS 66002(913) 367-6688(913) 674-2030 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 20, 2026, Oct 27, 2016 (2 updates tracked since 2016).

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About Bonnie A Tackett Md NPPES

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

BONNIE A TACKETT MD (NPI 1346688405) is an individual family medicine provider in Atchison, Kansas, licensed in Kansas (04-37708) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Amberwell Atchison Association, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1346688405

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameBONNIE A TACKETTCredential: MD

Location Address800 RAVENHILL DR STE 100&107Atchison, KS 66002-9204

Mailing Address800 Ravenhill DrAtchison, KS 66002-9204 · (913) 367-2131 · Fax (913) 674-2023

Phone(913) 367-6688

Fax(913) 674-2030

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2013

Enumeration DateJune 11, 2013

Last NPPES UpdateMarch 20, 20262 updates tracked since enumeration

NPPES CertifiedMarch 20, 2026

✔ NPI 1346688405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KS · 04-37708

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

800 RAVENHILL DR STE 100&107, Atchison, KS 66002

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Secondary Practice Locations 5

Location 1801 Atchison StAtchison, KS 66002-2352 · Phone (913) 367-1089 · Fax (913) 367-1089

Location 2311 W Locust StTroy, KS 66087-5252 · Phone (785) 985-3504 · Fax (785) 985-3813

Location 3800 Ravenhill DrAtchison, KS 66002-9204 · Phone (913) 367-2131 · Fax (913) 674-2023

Location 4300 Utah StHiawatha, KS 66434-2326 · Phone (785) 742-2131 · Fax (785) 742-6558

Location 51004 Progress Dr Ste 180&145Lansing, KS 66043-6326 · Phone (913) 297-3215 · Fax (913) 297-2732

Other Identifiers 2

Medicaid30004461010001KS

Other016289051KS · Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company.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

Bonnie A Tackett Md 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 ID4486897295

PECOS Enrollment IDI20151211001704

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 Reassignments

Medicare enrollment records show Bonnie Tackett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Amberwell Atchison Association

Same address

Family Medicine

800 RAVENHILL DR
Atchison, KS 66002

Reassigned Medicare billing, Kansas enrollment
Also billed through NPI 1932151487 (Kansas)
78 clinicians in this Medicare group

NPI 1528450913 (913) 367-2131

Hiawatha Hospital Association Inc

24 mi

Rural Health

415 W MAIN ST
Highland, KS 66035

Reassigned Medicare billing, Kansas enrollment
Also billed through NPI 1255421210 (Kansas)
76 clinicians in this Medicare group

NPI 1700936440 (785) 442-3213

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Amberwell Atchison Association

Critical Access Hospitals · Atchison, KS

OwnershipVoluntary non-profit - Private

CMS Certification Number171382

Location800 Raven Hill DriveAtchison, KS 66002 · Atchison County

Emergency services Birthing friendly

Mosaic Life Care At St Joseph

Acute Care Hospitals · Saint Joseph, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260006

Location5325 Faraon StreetSaint Joseph, MO 64506 · Buchanan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66002 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers26 claims54 services$5.86 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers12 claims14 services$1.04 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers12 claims69 services$3.06 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers11 claims11 services$44.45 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers35 claims35 services$101.51 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers17 claims17 services$32.13 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. LEXY JADE ROONEY PA-C

Physician Assistant