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

Sarah Nicole Tackett, MPAS

Individual provider Physician Assistant · NPI 1497362636

Sarah Nicole Tackett, MPAS is a Physician Assistant in Elkhart, Indiana. Qualified in 2020, 6 years ago. Practices with Dermatology and Skin Surgery Center, a 27-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020

Practice location Address checks out

111 N Nappanee St
Elkhart, IN 46514-1957
Phone: (574) 522-0265
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1497362636
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPAS
Sole proprietorNo
NPI enumeratedSeptember 30, 2020
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Dermatology And Skin Surgery Center — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Elkhart