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

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