MRS. MACY MARIE TACKETT MSN, PMHNP-BC
NPI 1871201285
Nurse Practitioner - Psychiatric/Mental Health in Fairlawn, OH

Active since November 14, 2022PECOS EnrolledAccepts Medicare Assignment
3094 W MARKET ST STE 360, FAIRLAWN, OH 44333(614) 987-8847 Get Directions Write a Review

NPPES record last updated: November 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2023, Nov 14, 2022 (2 updates tracked since 2022).

About Mrs. Macy Marie Tackett Msn, Pmhnp-bc NPPES

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

MRS. MACY MARIE TACKETT MSN, PMHNP-BC (NPI 1871201285) is an individual psychiatric/mental health provider in Fairlawn, Ohio, licensed in Ohio (APRN.CNP.0035112) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1871201285
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. MACY MARIE TACKETTCredential: MSN, PMHNP-BC
Location Address3094 W MARKET ST STE 360Fairlawn, OH 44333-3618
Mailing Address6063 S Myers RdNew Franklin, OH 44216-9441 · (330) 936-7653
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 14, 2022
Last NPPES UpdateNovember 18, 20232 updates tracked since enumeration
NPPES CertifiedNovember 18, 2023
NPI 1871201285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OH · APRN.CNP.0035112
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License RN.453033 (OH)
3094 W MARKET ST STE 360, Fairlawn, OH 44333

Other Names 1

Former Name (1)Ms. Macy Marie Tackett

Accepted 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

Mrs. Macy Marie Tackett Msn, Pmhnp-bc 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 ID5890148035
PECOS Enrollment IDI20240124002602
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 44333 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 Macy Tackett's NPI number?

The NPI number for Macy Tackett is 1871201285. It was assigned to this individual provider in the NPPES registry on November 14, 2022. The provider is also known as Ms. Macy Marie Tackett.

Where is Macy Tackett located?

Macy Tackett practices at 3094 W Market St Ste 360, Fairlawn, OH 44333. The listed phone number is (614) 987-8847.

What is Macy Tackett's specialty?

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

Is Macy Tackett enrolled in Medicare?

Yes. Macy Tackett 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 Macy Tackett accept?

Health plans from CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Macy 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 Macy Tackett was last updated on November 18, 2023. 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.