NPPES file of Aug 9, 2026

Jeffery Ray Tackett, APRN, PPCNP-C

Pediatric Nurse Practitioner · Las Vegas, NV

Jeffery Ray Tackett, APRN, PPCNP-C is a pediatric nurse practitioner with a practice address in Las Vegas, Nevada, and NPI 1376956789, issued on Jun 4, 2014. Check the license (Nevada APRN002155, as entered in NPPES) with the Nevada board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1376956789
Name
Jeffery Ray Tackett
Credential
APRN, PPCNP-C
Primary taxonomy
Pediatric Nurse Practitioner 363LP0200X
License numbers
APRN002155 NV
18745 TN
Self-reported in NPPES; status is on the state search
Practice location
2650 N Tenaya Way Ste 308, Las Vegas, NV 89128
Phone
(702) 870-2099
Enumerated
Jun 4, 2014
Record last updated
Nov 3, 2022
Fax
(702) 869-5347
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 2650 N Tenaya Way Ste 308

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Erik Grimm, DOPediatrics Physician1235660176

Verify Jeffery Ray Tackett in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Nevada board licenses this profession
    Search for license APRN002155
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Nevada license search

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Industry payments in 2024: $29.02

2 payments; by number, the most common kind was food and beverage; the largest payer was Pfizer Inc. The 7,169 providers of this specialty with any payment received $330.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Jeffery Tackett$29.02
  2. Specialty average$330.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Jeffery Ray Tackett among 77 pediatric nurse practitioner records in Nevada

Jeffery Ray Tackett, APRN, PPCNP-C is one of 77 pediatric nurse practitioner records with a practice address in Nevada. 49% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 57% of them.

  • NPI issued2014 · 57% of these records are older, 39% newer
  • In a Medicare fileYes · 49% of these records are
  • In the CMS Doctors and Clinicians fileNo · 8% of these records are
  • Record last updated2022 · 45% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0200X and a Nevada practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pediatric Nurse Practitioner providers in Nevada

There are 77 pediatric nurse practitioner records in Nevada.

The 8 pediatric nurse practitioner records with the nearest ZIP codes

  1. Amanda Drossulis, APRNLas Vegas, NV 891281427804905
  2. Dena Meeter, APRNLas Vegas, NV 891281003084294
  3. Kelly Riggs, PNPLas Vegas, NV 891281396581401
  4. Barbara Stiffler, CPNP-PCLas Vegas, NV 891281417162561
  5. Julie Bascones, APRN, CPNPLas Vegas, NV 891351740773183
  6. Jennifer Buitrago, CPNPLas Vegas, NV 891351073529822
  7. Sarah Maniora, NPLas Vegas, NV 891351336844364
  8. Hannah Stone, MSN, RN, CPNP-PCLas Vegas, NV 891351730860909

Common questions

What is Jeffery Ray Tackett, APRN, PPCNP-C's NPI number?

Jeffery Ray Tackett, APRN, PPCNP-C's National Provider Identifier (NPI) is 1376956789, issued on Jun 4, 2014. An NPI identifies a provider in billing; it is not a license.

Where is Jeffery Ray Tackett, APRN, PPCNP-C located?

The NPPES record lists a practice address at 2650 N Tenaya Way Ste 308, Las Vegas, NV, 89128. Phone: (702) 870-2099. Providers update this record themselves, so call before visiting.

How can I verify Jeffery Ray Tackett, APRN, PPCNP-C's license?

NPPES lists Nevada license number APRN002155, as entered by the provider. Search the Nevada board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.