SANDERICKA TATUM PMHNP-BC
NPI 1891500922
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, AR
About Sandericka Tatum Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDERICKA TATUM PMHNP-BC (NPI 1891500922) is an individual psychiatric/mental health provider in Jacksonville, Arkansas, licensed in Arkansas (230744) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Sandericka Tatum Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sandericka Tatum's NPI number?
The NPI number for Sandericka Tatum is 1891500922. It was assigned to this individual provider in the NPPES registry on February 7, 2025.
Where is Sandericka Tatum located?
Sandericka Tatum practices at 1300 Braden St, Jacksonville, AR 72076. The listed phone number is (501) 453-6950.
What is Sandericka Tatum's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Sandericka Tatum enrolled in Medicare?
Yes. Sandericka Tatum is registered in the Medicare PECOS enrollment system.
What insurance does Sandericka Tatum accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Sandericka Tatum 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 Sandericka Tatum was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Sandericka Tatum, PMHNP-BC · NPI 1891500922
Psychiatric/Mental Health physician in Jacksonville, Arkansas. Individual provider, active in the CMS NPPES registry since February 7, 2025.
## Identity
- **NPI:** 1891500922 (Entity type: Individual)
- **Enumerated:** February 7, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 230744 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1300 BRADEN ST, Jacksonville, AR 72076-3719
- **Phone:** (501) 453-6950
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** May 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1891500922) · Data from the CMS NPPES public registry.