Luke William Tackentien, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

F433158-01 Issued in NY

Practice address

15 S Main St Ste 110
Jamestown, NY 14701-6626

Phone

(716) 483-2320

Fax

(716) 484-2582

NPI assigned

Jan 9, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Great Lakes Physician Practice PCGroup PAC ID 6709007701, 143 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: luke.w.tackentien@upmcdirect.com

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Cuba Memorial Hospital Inc

  • Skilled Nursing Facility
  • Cuba, NY
  • NPI 1689656852

  Corporate Director

  CMS ownership
• Cuba Memorial Hospital, Inc.

  • Critical Access Hospital
  • Cuba, NY
  • NPI 1407839822

  Corporate Director

  CMS ownership
• Cuba Memorial Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Cuba, NY
  • NPI 1770738791

  Corporate Director

  CMS ownership

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.

• Great Lakes Physician Practice PC

  • Internal Medicine Physician
  • Jamestown, NY
  • NPI 1730599176
  Medicare reassignment Care Compare group NPD
• Western New York Medical Practice P.C.

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1063790608
  Medicare reassignment NPD
• Bruce W Mackellar MD PC

  • Family Medicine Physician
  • Hornell, NY
  • NPI 1396971321
  NPD
• Jamestown Area Medical Associates, L.L.P.

  • Internal Medicine Physician
  • Jamestown, NY
  • NPI 1528010766
  NPD
• Western New York Medical Practice PC

  • Obstetrics & Gynecology Physician
  • Warsaw, NY
  • NPI 1306214689
  NPD
• Regional Health Services Inc

  • Family Medicine Physician
  • Erie, PA
  • NPI 1174520654
  NPD (past)

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1932919271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST STE 110",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016626",
            "telephone_number": "716-483-2320",
            "fax_number": "716-484-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST STE 110",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016626",
            "telephone_number": "716-483-2320",
            "fax_number": "716-484-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKENTIEN",
        "first_name": "LUKE",
        "middle_name": "WILLIAM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F433158-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Swanson
• Julie L Swanson
• Sara Swanson, NP
• Shirley J Swenson, FNP
• Nicole Rae Szymczak, PT, DPT
• Tanglewood Manor, Inc
• Laurie Tanner, R.N.
• Stacey Lynn Teagarden
• Team Services, Inc
• Jackson Tyler Teboe, FNP-C

• Acute Care Nurse Practitioner in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Acute Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.