Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376587600 Individual Practitioner Female Practitioner

Jennifer L Tackett , PA-C

Physician Assistant • Austin, TX

Professional Overview & Biography Verified Profile Summary

Jennifer Tackett, PA-C is a registered healthcare professional specializing in Physician Assistant in Austin, TX. Practice services are available at 11675 JOLLYVILLE RD STE 207 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11675 Jollyville Rd Ste 207

Austin, TX 787594105

Telephone 5128561000
Fax 3178881591
Associated Practice Facility / Clinic
🏢 Joel H Hurt Md Pllc Facility NPI 1083204242

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.9 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
611 Specialists

Practicing in Austin, TX (11140 Statewide)

Telehealth Adoption Rate
15.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IN 10000840A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bc/bs
8Y9381 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Damian Garza , PA

Physician Assistant

NPI 1043209018

Physician Assistant

Samantha Pittsford , PT

Physical Therapist

NPI 1073874517

Physical Therapist

Dr. Alanna Dibiasi , DPT

Physical Medicine & Rehabilitation - Sports Medicine

NPI 1124495981

Doctor of Physical Therapy

Dr. Douglas Flory , MD

Orthopaedic Surgery - Foot and Ankle Surgery

NPI 1275530602

Doctor of Medicine (M.D.)

Jeffrey Buterbaugh , PA-C

Physician Assistant - Surgical

NPI 1326294216

Physician Assistant (Certified)

Dr. Miguel Perez , DPT

Physical Therapist

NPI 1326791120

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 09, 2024

Registered at 11675 JOLLYVILLE RD STE 207, AUSTIN, TX 787594105 (Tel: 5128561000)

📍
Updated Business Mailing Address January 09, 2024

Registered at 11675 JOLLYVILLE RD STE 207, AUSTIN, TX 787594105 (Tel: 5128561000)

NPI Profile Active May 20, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2011

Registered at 8141 S. EMERSON AVE., STE. A, INDIANAPOLIS, IN 462378560 (Tel: 3178881051)

📍
Updated Business Mailing Address May 20, 2011

Registered at 8141 S EMERSON AVE, STE. A, INDIANAPOLIS, IN 462378560 (Tel: 3178881051)

👤
Provider Name / Credentials Updated May 20, 2011

Recorded as JENNIFER TACKETT, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2011

Physician Assistant (License #10000840A in IN)

🟢
Initial NPI Registration & Enumeration June 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376587600
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2006
Last Update: January 09, 2024
Sole Proprietor: No

Mailing Address

11675 Jollyville Rd Ste 207

Austin, TX 787594105

Phone: 5128561000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.