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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LISA A TACK D.C.
NPI 1619978129
Chiropractor in Calvert City, KY

Active since August 09, 2005
5131 US HIGHWAY 62, CALVERT CITY, KY 42029(270) 395-4540(270) 395-7715 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lisa A Tack D.c. NPPES

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

DR. LISA A TACK D.C. (NPI 1619978129) is an individual chiropractor in Calvert City, Kentucky, licensed in Kentucky (4311) and active in the NPI registry since August 2005. She is a graduate of Logan College Of Chiropractic (1995).

NPPES Registry Identity

NPI1619978129
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. LISA A TACKCredential: D.C.
Location Address5131 US HIGHWAY 62Calvert City, KY 42029-8390
Mailing Address330 Oak Shadow LnBenton, KY 42025-5494 · (270) 527-8216
Phone(270) 395-4540
Fax(270) 395-7715
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 1995
Enumeration DateAugust 9, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1619978129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in KY · 4311
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
5131 US HIGHWAY 62, Calvert City, KY 42029
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Other Identifiers 1

Medicaid85001477KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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

Dr. Lisa A Tack D.c. 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 ID5092951848
PECOS Enrollment IDI20130423000304

Other Providers at the Same Location NPPES 3

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

BRADLEY A. TACK P.S.C.
Chiropractor
5131 US HIGHWAY 62
CALVERT CITY, KY 42029
Marshall County (270) 395-4540
DR. CHARLES EPSTEIN D.C.
Chiropractor
5131 US HIGHWAY 62
CALVERT CITY, KY 42029
Marshall County (270) 395-4540
DR. BRADLEY A TACK D.C.
Chiropractor
5131 US HIGHWAY 62
CALVERT CITY, KY 42029
Marshall County (270) 395-4540

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 Lisa Tack's NPI number?

The NPI number for Lisa Tack is 1619978129. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Lisa Tack located?

Lisa Tack practices at 5131 Us Highway 62, Calvert City, KY 42029. The listed phone number is (270) 395-4540.

What is Lisa Tack's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Lisa Tack enrolled in Medicare?

Yes. Lisa Tack 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.

What insurance does Lisa Tack accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Providence Health Plan list Lisa Tack 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 Lisa Tack was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.