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Tracy J Tacket Do Pllc

Tracy J Tacket Do Pllc is a healthcare organization registered as Family Medicine Physician in Niles, MI, holding Type 2 (organization) NPI 1992826366 since 2007. The authorized official on file is Tracy Tacket, Owner.

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NPI 1992826366
Entity type Organization (Type 2)
Legal business name Tracy J Tacket Do Pllc
Practice address 24 N SAINT JOSEPH AVE, SUITE G, Niles, MI, 49120
Phone 2696845002
Enumeration date 2007-04-03
Last updated in NPPES 2010-03-15

Authorized official

Name Tracy Tacket
Title Owner
Phone 2696845002

Taxonomy & classification

Taxonomy code Specialty Primary License State
207Q00000X Family Medicine Physician Primary 5101017117 MI

Other identifiers

Identifier Type State Issuer
4994944 Medicaid MI
Copy-ready billing details
Provider: Tracy J Tacket Do Pllc
NPI: 1992826366
Taxonomy: 207Q00000X (Family Medicine Physician)
Address: 24 N SAINT JOSEPH AVE, SUITE G, Niles, MI, 49120

Providers at this address

NPI Name Type Specialty Location
1952336653 Florentino Aquino Individual Surgery Physician Niles, MI
1023145703 Douglas Tacket Do Pllc Organization Family Medicine Physician Niles, MI
1225256712 Joe Francisco Individual Clinical Social Worker Niles, MI
1629277439 Paul V Detrisac MD PC Organization Internal Medicine Physician Niles, MI
1609063551 West Michigan Hearing Specialists LLC Organization Audiologist-Hearing Aid Fitter Niles, MI
1285805879 Cardiovascular Diseases of Niles, P.C. Organization Cardiovascular Disease Physician Niles, MI
1588964415 Michelle Ridenour Individual Audiologist-Hearing Aid Fitter Niles, MI
1164862181 Michael Flewelling Individual General Practice Dentistry Niles, MI

Verify this record

Cross-check NPI 1992826366 against the authoritative CMS record: view Tracy J Tacket Do Pllc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is the NPI number for Tracy J Tacket Do Pllc?
The NPI for Tracy J Tacket Do Pllc is 1992826366, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Tracy J Tacket Do Pllc?
NPPES lists Tracy Tacket (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-03-15.