ROBERT TACK
NPI 1578400289
Nurse Practitioner - Psychiatric/Mental Health in Waite Park, MN

Active since April 30, 2026
209 3RD ST NE, WAITE PARK, MN 56387(320) 968-6023 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert Tack NPPES

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

ROBERT TACK (NPI 1578400289) is an individual psychiatric/mental health provider in Waite Park, Minnesota, licensed in Minnesota (14074) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1578400289
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameROBERT TACK
Location Address209 3RD ST NEWaite Park, MN 56387-1271
Mailing Address209 3rd St NeWaite Park, MN 56387-1271
Sole ProprietorNo
Enumeration DateApril 30, 2026
NPPES CertifiedApril 30, 2026
NPI 1578400289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MN · 14074
209 3RD ST NE, Waite Park, MN 56387

Other Providers at the Same Location NPPES

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

Chiropractor
209 3RD ST NE
WAITE PARK, MN 56387

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 Robert Tack's NPI number?

The NPI number for Robert Tack is 1578400289. It was assigned to this individual provider in the NPPES registry on April 30, 2026.

Where is Robert Tack located?

Robert Tack practices at 209 3rd St NE, Waite Park, MN 56387. The listed phone number is (320) 968-6023.

What is Robert Tack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Robert Tack was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.