LISA ANN TUCKER APRN
NPI 1023788171
Nurse Practitioner - Family in Columbia, KY

Active since September 19, 2021PECOS Enrolled
773 SNAKE CREEK RD, COLUMBIA, KY 42728(270) 250-9459 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 28, 2026, Jul 24, 2026, Jan 20, 2026 and 1 more (4 updates tracked since 2021).

About Lisa Ann Tucker Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA ANN TUCKER APRN (NPI 1023788171) is an individual family provider in Columbia, Kentucky, licensed in Kentucky (3016372) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1023788171
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA ANN TUCKERCredential: APRN
Location Address773 SNAKE CREEK RDColumbia, KY 42728-7009
Mailing Address773 Snake Creek RdColumbia, KY 42728-7009 · (270) 250-9459
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 19, 2021
Last NPPES UpdateJuly 28, 20264 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1023788171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in KY · 3016372✔ Licensed in CT · 15316✔ Licensed in TX · 1216157✔ Licensed in OH · APRN.CNP.0041220
773 SNAKE CREEK RD, Columbia, KY 42728

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Ann Tucker Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618368192
PECOS Enrollment IDI20260203001923
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Tucker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurse Practitioner
200 OCEANGATE STE 100
Long Beach, CA 90802
  • Reassigned Medicare billing, Connecticut, Kentucky, Massachusetts, Nebraska, Ohio, South Carolina and Texas enrollments
  • 86 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42728 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Tucker's NPI number?

The NPI number for Lisa Tucker is 1023788171. It was assigned to this individual provider in the NPPES registry on September 19, 2021.

Where is Lisa Tucker located?

Lisa Tucker practices at 773 Snake Creek Rd, Columbia, KY 42728. The listed phone number is (270) 250-9459.

What is Lisa Tucker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Tucker enrolled in Medicare?

Yes. Lisa Tucker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Tucker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Tucker reassigns Medicare benefits to Molina Care Connections, LLC. (Long Beach, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Tucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Tucker accept?

Health plans from Molina Healthcare list Lisa Tucker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Tucker was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.