Mary Tackbary
Psychiatric/Mental Health Nurse Practitioner · Traverse City, MI
Mary Tackbary is a psychiatric/mental health nurse practitioner with a practice address in Traverse City, Michigan, and NPI 1588282784, issued on Jul 14, 2020. Check the license (Michigan 4704106451, as entered in NPPES) with the Michigan board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Mary Tackbary
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License number
- 4704106451 MI
Self-reported in NPPES; status is on the state search - Practice location
- 928 S Garfield Ave Ste 3A, Traverse City, MI 49686
- Phone
- (231) 835-0115
- Enumerated
- Jul 14, 2020
- Record last updated
- Feb 20, 2025
- Fax
- (231) 216-7641
- Medicare enrollment
- Enrolled (PECOS I20260507003578); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest psychiatric/mental health nurse practitioner records → All 931 in Michigan → Look up another NPI →
Also registered at 928 S Garfield Ave Ste 3A
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jeremy Bilderback, MA, LLPCCounselor1659903490
- Kristen Vanderkolk, LPC, NCCProfessional Counselor1942840137
Verify Mary Tackbary in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 4704106451Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Mary Tackbary among 931 psychiatric/mental health nurse practitioner records in Michigan
Mary Tackbary is one of 931 psychiatric/mental health nurse practitioner records with a practice address in Michigan. 69% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2020, is newer than 46% of them.
- NPI issued2020 · 46% of these records are older, 50% newer
- In a Medicare fileNo · 69% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated2022 · median 2022 among the 570 with a school on file
- Record last updated2025 · 19% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0808X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Psychiatric/Mental Health Nurse Practitioner providers in Michigan
There are 931 psychiatric/mental health nurse practitioner records in Michigan. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 931 in Michigan → Every provider in Traverse City → Psychiatric/Mental Health Nurse Practitioner nationwide →
The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes
- Jake Jones, PMHNP-BC, FNP-CTraverse City, MI 496861578136065
- Simone King, PMHNPCE-DNPTraverse City, MI 496861487317509
- Sarah Chichester, PMHNPTraverse City, MI 496841043768054
- Tamlynn Evans, APRN, BC, NPTraverse City, MI 496841336113216
- Linda GottwaldTraverse City, MI 496841144424219
- Laura Pond, DNP, PMHNP-BCTraverse City, MI 496841972467363
- Kelly Ryan, PMHNP-BC, APRN-CNPTraverse City, MI 496841134675192
- Shoba Ryan, DNP, PMHNP-BCTraverse City, MI 496841730539149
Common questions
What is Mary Tackbary's NPI number?
Mary Tackbary's National Provider Identifier (NPI) is 1588282784, issued on Jul 14, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Mary Tackbary located?
The NPPES record lists a practice address at 928 S Garfield Ave Ste 3A, Traverse City, MI, 49686. Phone: (231) 835-0115. Providers update this record themselves, so call before visiting.
How can I verify Mary Tackbary's license?
NPPES lists Michigan license number 4704106451, as entered by the provider. Search the Michigan 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. 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.