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LUKE WILLIAM TACKENTIEN NP
NPI 1932919271
Nurse Practitioner - Acute Care in Jamestown, NY

Active since January 09, 2025PECOS EnrolledAccepts Medicare Assignment
15 S MAIN ST STE 110, JAMESTOWN, NY 14701(716) 483-2320(716) 484-2582 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 4, 2025, Jan 9, 2025 (2 updates tracked since 2025).

About Luke William Tackentien Np NPPES

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

LUKE WILLIAM TACKENTIEN NP (NPI 1932919271) is an individual acute care provider in Jamestown, New York, licensed in New York (F433158-01) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1932919271
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameLUKE WILLIAM TACKENTIENCredential: NP
Location Address15 S MAIN ST STE 110Jamestown, NY 14701-6626
Mailing Address15 S Main St Ste 110Jamestown, NY 14701-6626 · (716) 483-2320 · Fax (716) 484-2582
Phone(716) 483-2320
Fax(716) 484-2582
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 9, 2025
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1932919271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · F433158-01
15 S MAIN ST STE 110, Jamestown, NY 14701
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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

Luke William Tackentien Np 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 ID3577819192
PECOS Enrollment IDI20250317001746
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 Luke Tackentien reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Great Lakes Physician Practice PC
Same address
Internal Medicine
15 S MAIN ST
Jamestown, NY 14701
  • Reassigned Medicare billing, New York enrollment
  • 233 clinicians in this Medicare group
NPI 1730599176 (716) 488-1877
Western New York Medical Practice PC
72 mi
Obstetrics & Gynecology
121 S MAIN ST
Warsaw, NY 14569
  • Reassigned Medicare billing, New York enrollment
  • 1,030 clinicians in this Medicare group
NPI 1306214689 (585) 786-8350

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 14701 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

ANTONIO REGINO ROMAN MD
Internal Medicine (Cardiovascular Disease)
15 S MAIN ST STE 110
JAMESTOWN, NY 14701
Chautauqua County (716) 483-2320
AMY JO CALDWELL FNP-C
Nurse Practitioner
15 S MAIN ST STE 110
JAMESTOWN, NY 14701
Chautauqua County (716) 483-2320

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 Luke Tackentien's NPI number?

The NPI number for Luke Tackentien is 1932919271. It was assigned to this individual provider in the NPPES registry on January 9, 2025.

Where is Luke Tackentien located?

Luke Tackentien practices at 15 S Main St Ste 110, Jamestown, NY 14701. The listed phone number is (716) 483-2320.

What is Luke Tackentien's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Luke Tackentien enrolled in Medicare?

Yes. Luke Tackentien 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 Luke Tackentien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luke Tackentien reassigns Medicare benefits to 2 organizations: Great Lakes Physician Practice PC (Jamestown, NY) and Western New York Medical Practice PC (Warsaw, NY). 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 Luke Tackentien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Luke Tackentien was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.