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JACKIE R TANNER ARNP
NPI 1609229343
Nurse Practitioner in Panama City, FL

Active since July 18, 2016PECOS EnrolledAccepts Medicare Assignment
638 HARRISON AVE STE 102, PANAMA CITY, FL 32401(850) 558-4400 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2021, Oct 13, 2016 (2 updates tracked since 2016).

About Jackie R Tanner Arnp NPPES

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

JACKIE R TANNER ARNP (NPI 1609229343) is an individual nurse practitioner in Panama City, Florida, licensed in Florida (APRN9208911) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609229343
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACKIE R TANNERCredential: ARNP
Location Address638 HARRISON AVE STE 102Panama City, FL 32401-2662
Mailing Address638 Harrison Ave Ste 102Panama City, FL 32401-2662 · (850) 558-4400
Phone(850) 558-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 18, 2016
Last NPPES UpdateMarch 12, 20242 updates tracked since enumeration
NPPES CertifiedMarch 12, 2024
✔ NPI 1609229343 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 FL · APRN9208911
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.
638 HARRISON AVE STE 102, Panama City, FL 32401
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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

Jackie R Tanner Arnp 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 ID2769779206
PECOS Enrollment IDI20260313001799
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32401 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Jackie Tanner's NPI number?

The NPI number for Jackie Tanner is 1609229343. It was assigned to this individual provider in the NPPES registry on July 18, 2016.

Where is Jackie Tanner located?

Jackie Tanner practices at 638 Harrison Ave Ste 102, Panama City, FL 32401. The listed phone number is (850) 558-4400.

What is Jackie Tanner's specialty?

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

Is Jackie Tanner enrolled in Medicare?

Yes. Jackie Tanner 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.

When was this NPI record last updated?

The NPPES record for Jackie Tanner was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.