Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rafaelle W Tkac

Individual provider Pediatric Registered Nurse · NPI 1801378310

Rafaelle W Tkac is a Nurse Practitioner in Webster, Texas. Qualified in 2022, 4 years ago. Practices with Privia Medical Group Gulf Coast PLLC, a 538-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1507 W Bay Area Blvd Ste 116
Webster, TX 77598-3404
Phone: (346) 617-8993
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 676 Fm 517 Rd W, Dickinson, TX 77539-3904 — (409) 572-2535

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1111882 (TX)
Pediatric Registered Nurse Taxonomy 163WP0200X · Licence 940461 (TX)

Record details

NPI number1801378310
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2018
Last updated in NPPESDecember 7, 2024
Certification dateDecember 7, 2024
Mailing address1507 W Bay Area Blvd Ste 116, Webster, TX 77598-3404

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Privia Medical Group Gulf Coast Pllc — 538 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Webster