Cook pasta according to package but undercook it by about 2-3 minutes (it will continue to cook in the oven and you don't want it overcooked and mushy), rinse under cold water. Place pasta in a 9x13 casserole/baking dish.
Brown meat in a skillet and drain if necessary. Return to medium heat and add taco packet and water and cook about 5 minutes.
Add the cream cheese to the meat mixture and stir until combined. Remove from heat.
Stir in 1 C shredded cheese to meat mixture.
Pour meat mixture over pasta and stir to combine.
Top with remaining ½ C cheese.
Bake uncovered 350 for 25-30 minutes.