Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heather D. Tackett, PA-C

Individual provider Physician Assistant · NPI 1164649471

Heather D. Tackett, PA-C is a Physician Assistant in Springfield, Missouri. Qualified in 2006, 20 years ago. Practices with Springfield Neurological Institute, LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Arkansas and Missouri.

Years since qualifying
20
Licensed in
AR, MO
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3801 S National Ave West Tower Ste 700
Springfield, MO 65807-5210
Phone: (417) 885-3888
Fax: (417) 881-7268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2007003918 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 2007003918 (MO)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA-405 (AR)

Record details

NPI number1164649471
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 19, 2007
Last updated in NPPESSeptember 30, 2021
Certification dateSeptember 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Springfield Neurological Institute, L.L.C. — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Springfield