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

Tracy J Tacket, DO

Individual provider Family Medicine Physician · NPI 1487775847

Tracy J Tacket, DO is a Family Practice in Niles, Michigan. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 1989, 37 years ago. Practices with Lakeland Medical Practices, a 287-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
37
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
MI
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4 Longmeadow Village Dr
Niles, MI 49120-7809
Phone: (269) 684-6000
Fax: (269) 684-1388
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101017117 (MI)

Record details

NPI number1487775847
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 3, 2007
Last updated in NPPESJune 8, 2012
Mailing address4 Longmeadow Village Dr, Niles, MI 49120-7809

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 1989 (37 years in practice)
Group practice Lakeland Medical Practices — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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