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DR. JACQUELINE TUCKER MD
NPI 1073203394
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since May 10, 2023PECOS Enrolled
420 DELAWARE STREET SE, MMC 396, MINNEAPOLIS, MN 55455(612) 625-7692 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jacqueline Tucker Md NPPES

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

DR. JACQUELINE TUCKER MD (NPI 1073203394) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073203394
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JACQUELINE TUCKERCredential: MD
Location Address420 DELAWARE STREET SE, MMC 396Minneapolis, MN 55455
Mailing Address363 Merlin RdPhoenixville, PA 19460-2064 · (484) 753-3297
Phone(612) 625-7692
Sole ProprietorNo
Enumeration DateMay 10, 2023
NPPES CertifiedApril 28, 2023
✔ NPI 1073203394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

420 DELAWARE STREET SE, Minneapolis, MN 55455
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacqueline Tucker Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSS RYBAKOWICZ MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-6483
ANOOJ PATEL
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-4777
SUCHAPA ARAYAKARNKUL M.D.
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 284
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-5454
DR. BOYANGZI LI MD, PHD
Internal Medicine (Cardiovascular Disease)
420 DELAWARE STREET SE, MMC 508
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-2589
NEUROLOGY LTD.
Clinical Medical Laboratory
420 DELAWARE STREET SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-1431
CHESNEY BURGWEGER SIEMS MD
Surgery
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-6483
SANA KAGALWALLA
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 284
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-5454
DR. REBECCA JANE MITCHARD M.D.
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 284 14-100 PHILLIPS-WANGENSTEEN BLDG
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-7634

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 Jacqueline Tucker's NPI number?

The NPI number for Jacqueline Tucker is 1073203394. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Jacqueline Tucker located?

Jacqueline Tucker practices at 420 Delaware Street SE Mmc 396, Minneapolis, MN 55455. The listed phone number is (612) 625-7692.

What is Jacqueline Tucker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacqueline Tucker enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacqueline Tucker was last updated on May 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.