1. Home
  2. Directory
  3. Florida
  4. Panama City
  5. Nurse Practitioner
  6. NPI Profile

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: October 25, 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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

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.

Medicare Billing Reassignments

2

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

Houston County Healthcare Authority
75 mi
Gynecology
1118 ROSS CLARK CIR, SUITE 210
Dothan, AL 36301
  • Reassigned Medicare billing, Alabama enrollment
  • 514 clinicians in this Medicare group
NPI 1235469669 (334) 702-6900
Vitas Solutions Inc
437 mi
Hospice and Palliative Medicine
3170 EXECUTIVE WAY
Miramar, FL 33025
  • Reassigned Medicare billing, Florida enrollment
  • 119 clinicians in this Medicare group
NPI 1861666497 (877) 868-4827

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 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.

Which organizations bill Medicare for Jackie Tanner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Tanner reassigns Medicare benefits to 2 organizations: Houston County Healthcare Authority (Dothan, AL) and Vitas Solutions Inc (Miramar, FL). Each 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 Jackie Tanner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackie Tanner accept?

Health plans from Blue Cross and Blue Shield of Alabama list Jackie Tanner 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 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.