RAELYN TACKETT
NPI 1568317618
Occupational Therapist in Southaven, MS
About Raelyn Tackett NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAELYN TACKETT (NPI 1568317618) is an individual occupational therapist in Southaven, Mississippi, licensed in Tennessee (8471) and active in the NPI registry since March 2026. She is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Raelyn Tackett is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Raelyn Tackett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Spring Hill, TN 37174
- Reassigned Medicare billing, Tennessee enrollment
- 118 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.
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.
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 Raelyn Tackett's NPI number?
The NPI number for Raelyn Tackett is 1568317618. It was assigned to this individual provider in the NPPES registry on March 3, 2026.
Where is Raelyn Tackett located?
Raelyn Tackett practices at 83 Airways Pl, Southaven, MS 38671. The listed phone number is (662) 349-8787.
What is Raelyn Tackett's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Raelyn Tackett enrolled in Medicare?
Yes. Raelyn Tackett is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Raelyn Tackett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raelyn Tackett reassigns Medicare benefits to Fox Rehabilitation Services Tn LLC (Spring Hill, TN). 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 Raelyn Tackett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raelyn Tackett accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Raelyn 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.
When was this NPI record last updated?
The NPPES record for Raelyn Tackett was last updated on March 3, 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.