Doctor profile · Federal record

Dr. Jackie Tank, PA

Physician Assistant · Physician Assistant · Indianapolis, IN

  • NPI 1043854409
  • 7 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
5255 E Stop 11 RD Ste 450
Indianapolis, IN 462376342
(317) 865-4800
fax (317) 865-4806
Mailing address
Po Box 781076
Detroit, MI 482781076

Credentials & registration

NPPES · NUCC
NPI registered
October 2019 — 7 yrs on file
Profile last updated
November 18, 2024
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Indiana #10002853A

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1043854409. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
82
Distinct HCPCS
4
Medicare allowed
$6,777
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 35 34 $73
99214 Established patient office or other outpatient visit, 30-39 minutes 22 22 $103
99212 Established patient office or other outpatient visit, 10-19 minutes 13 12 $45
58571 Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less 12 12 $116

In context: peer comparison

Among 167 peers in Indianapolis Physician Assistant, average services per provider: 75. This provider delivers 1.1× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
91
Patients
81
Total drug cost
$620
Drug Type Claims Patients Total cost
Ondansetron Odt (Ondansetron) Brand 43 39 $461
Tramadol Hcl Generic 27 26 $43
Ibuprofen Generic 21 16 $117

Frequently asked questions

Auto-generated from federal data
What is Dr. Jackie Tank's medical specialty?
Dr. Jackie Tank practices Physician Assistant in Indianapolis, IN.
Where does Dr. Jackie Tank practice?
Dr. Jackie Tank practices at 5255 E Stop 11 RD Ste 450, Indianapolis, IN 462376342. Office phone: 3178654800.
What is Dr. Jackie Tank's NPI?
Dr. Jackie Tank's National Provider Identifier (NPI) is 1043854409, issued by NPPES.
What procedures does Dr. Jackie Tank commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99212). Source: CMS Medicare Physician & Other Practitioners file.