Jeffery Ray Tackett, APRN, PPCNP-C
NPI 1376956789ActiveIndividual· Nurse Practitioner, Pediatrics· Las Vegas, NV
Nurse Practitioner, Pediatrics (APRN, PPCNP-C) in Las Vegas, Nevada, licensed in NV and TN, with an NPI issued in June 2014. Enrolled in Medicare as practitioner - nurse practitioner. Pfizer Inc. reported $29.02 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1376956789 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN, PPCNP-C |
| Sole proprietor | No |
| NPI issued | Jun 4, 2014 |
| Last updated in NPPES | Nov 3, 2022 |
| Certified by provider | Nov 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | APRN002155 | NV |
| Nurse Practitioner, Pediatrics | 363LP0200X | 18745 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NV) |
|---|
Industry payments (Open Payments)
- 2024$29.02 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Pfizer Inc. | $29.02 | 2 |
What the 2024 payments were for
- Food and Beverage$29.02 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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