CASEY L TUCKER DC
NPI 1083667463
Chiropractor in Santa Rosa, CA
About Casey L Tucker Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CASEY L TUCKER DC (NPI 1083667463) is an individual chiropractor in Santa Rosa, California, licensed in California (DC 23602) and active in the NPI registry since May 2006. He is a graduate of Life Chiropractic College - West (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Casey L Tucker Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Casey Tucker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Rosa, CA 95404
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Casey Tucker's NPI number?
The NPI number for Casey Tucker is 1083667463. It was assigned to this individual provider in the NPPES registry on May 18, 2006.
Where is Casey Tucker located?
Casey Tucker practices at 1211 College Ave, Santa Rosa, CA 95404. The listed phone number is (707) 526-9355.
What is Casey Tucker's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Casey Tucker enrolled in Medicare?
Yes. Casey Tucker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Casey Tucker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Casey Tucker reassigns Medicare benefits to Tucker Chiropractic, A Professional Corporation (Santa Rosa, 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 Casey Tucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Casey Tucker was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Casey L Tucker, DC · NPI 1083667463
Chiropractor provider in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since May 18, 2006.
## Identity
- **NPI:** 1083667463 (Entity type: Individual)
- **Enumerated:** May 18, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** DC 23602 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1211 COLLEGE AVE, Santa Rosa, CA 95404-3907
- **Phone:** (707) 526-9355 · **Fax:** (707) 526-9081
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Tucker Chiropractic, A Professional Corporation (NPI 1073564753, Santa Rosa, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Life Chiropractic College - West, class of 1995
## Record status
- **NPPES last updated:** August 29, 2012
- **Other identifiers:** Other DC 23602 (CA); Medicare UPIN U54854; Medicare ID-Type Unspecified DC0236020 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1083667463) · Data from the CMS NPPES public registry.