CARLYN E TACKETT APRN
NPI 1720610587
Nurse Practitioner - Family in Sapulpa, OK

Q: What is Carlyn Tackett's NPI number?

The NPI number for Carlyn Tackett is 1720610587. It was assigned to this individual provider in the NPPES registry on February 10, 2020.

Q: What is Carlyn Tackett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Carlyn Tackett was last updated on April 16, 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.

Active since February 10, 2020PECOS Enrolled

16 S WATER ST, SAPULPA, OK 74066(918) 347-9022 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2024, Oct 18, 2023, Aug 10, 2020 and 1 more (4 updates tracked since 2020).

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About Carlyn E Tackett Aprn NPPES

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

CARLYN E TACKETT APRN (NPI 1720610587) is an individual family provider in Sapulpa, Oklahoma, licensed in Oklahoma (113970) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720610587

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCARLYN E TACKETTCredential: APRN

Location Address16 S WATER STSapulpa, OK 74066-4232

Mailing Address16 S Water StSapulpa, OK 74066-4232 · (918) 947-9117

Phone(918) 347-9022

Sole ProprietorNo

Enumeration DateFebruary 10, 2020

Last NPPES UpdateApril 16, 20244 updates tracked since enumeration

NPPES CertifiedApril 16, 2024

✔ NPI 1720610587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OK · 113970

Also ListedRegistered NurseTaxonomy 163W00000X · License 0113970 (OK)

16 S WATER ST, Sapulpa, OK 74066

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlyn E Tackett Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 74066 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

Other Providers at the Same Location NPPES 2

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

MRS. SHEA LYN DESPAIN APRN

Nurse Practitioner (Family)

16 S WATER ST
SAPULPA, OK 74066

Creek County (918) 347-9022

DIVINE HEALTH AND WELLNESS, LLC

Clinic/Center (Health Service)

16 S WATER ST
SAPULPA, OK 74066

Creek County (918) 347-9022

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 Carlyn Tackett's NPI number?

The NPI number for Carlyn Tackett is 1720610587. It was assigned to this individual provider in the NPPES registry on February 10, 2020.

Where is Carlyn Tackett located?

Carlyn Tackett practices at 16 S Water St, Sapulpa, OK 74066. The listed phone number is (918) 347-9022.

What is Carlyn Tackett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carlyn Tackett enrolled in Medicare?

Yes. Carlyn Tackett is registered in the Medicare PECOS enrollment system.

What insurance does Carlyn Tackett accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Carlyn 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 Carlyn Tackett was last updated on April 16, 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.