Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

MS. Jeanine Marie Tackla, APRN, MSN, A-GNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1255612537

MS. Jeanine Marie Tackla, APRN, MSN, A-GNP-C is a Nurse Practitioner in Keller, Texas. Qualified in 2022, 4 years ago. Practices with Lakeway Medical Clinic LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
4
Licensed in
IL, TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

See every abbreviation used in this directory →

Practice location Address checks out

8739 Davis Blvd Ste 100
Keller, TX 76248-0309
Phone: (817) 476-1226
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 1114749 (TX)
Registered Nurse First Assistant Taxonomy 163WR0006X · Licence 095692 (IL)

Record details

NPI number1255612537
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , MSN , A-GNP-C
Sole proprietorYes
NPI enumeratedAugust 31, 2011
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026

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 Lakeway Medical Clinic Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients386
Services billed 1,317 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $387 11 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Lakeway Medical Clinic LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.