Individual provider Active NPI

Nikki Theodora Tacsik, CNP

  • Family Nurse Practitioner
  • Alliance, OH
National Provider Identifier
1700548187
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0029888 Issued in OH
Practice address
1939 W State St
Alliance, OH 44601-3522
Phone
(330) 238-4455
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0029888 OH Primary

Addresses

Primary practice location

1939 W State St
Alliance, OH 44601-3522

Mailing address

4020 Shelbourne Dr
Youngstown, OH 44511-3351
Phone (234) 232-9700

Other practice location 1

1984 Greentree Rd
Pittsburgh, PA 15220-1813
Phone (412) 343-3627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211123000281 OH Practitioner - Nurse Practitioner 0345639894 Reassigns benefits to 2 organizations
I20240812003994 PA Practitioner - Nurse Practitioner 0345639894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

1984 Greentree Rd
Pittsburgh, PA 15220-1813
Phone (412) 343-3627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Jul 1, 2024 Accepting new patients
Ucmg LLC CurrentSince Jun 1, 2025 Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Dec 28, 2023 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Jul 1, 2024 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Dec 28, 2023 Accepting new patients
Triad Health Services, LLC Family CurrentSince Jun 1, 2022 Accepting new patients
Urgent Care Specialists, LLC PastSince Apr 28, 2024 Accepting new patients
The Surgery Center at Southwoods, LLC PastSince Jun 1, 2022 Accepting new patients

Locations

1939 W State St
Alliance, OH 44601
Phone (330) 238-4455

315 Struthers Liberty Rd
Campbell, OH 44405
Phone (330) 750-1333

315 Struthers Liberty Rd
Ste 1
Campbell, OH 44405
Phone (330) 750-1333

6210 Brandt Pike
Ste 102
Huber Heights, OH 45424
Phone (937) 236-8630

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

1984 Greentree Rd
Pittsburgh, PA 15220
Phone (412) 343-3627

3516 Saw Mill Run Blvd
Pittsburgh, PA 15227
Phone (412) 844-0327

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Interoperability endpoints

  • Direct secure messaging: ntacsik20747@gohealthupmc.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1700548187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 SHELBOURNE DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445113351",
            "telephone_number": "234-232-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 W STATE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446013522",
            "telephone_number": "330-238-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1984 Greentree Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152201813",
            "country_code": "US",
            "telephone_number": "412-343-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TACSIK",
        "first_name": "NIKKI",
        "middle_name": "THEODORA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.