TIFFANY MARIE TUCKER
NPI 1104638915
Nurse Practitioner - Pediatrics in Lakeland, FL

Q: What is Tiffany Tucker's NPI number?

The NPI number for Tiffany Tucker is 1104638915. It was assigned to this individual provider in the NPPES registry on January 21, 2025.

Q: What is Tiffany Tucker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Tucker was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since January 21, 2025PECOS Enrolled

601 S FLORIDA AVE STE 6, LAKELAND, FL 33801(866) 234-8534 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tiffany Marie Tucker NPPES

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

TIFFANY MARIE TUCKER (NPI 1104638915) is an individual pediatrics provider in Lakeland, Florida, licensed in Florida (APRN11035710) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104638915

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameTIFFANY MARIE TUCKER

Location Address601 S FLORIDA AVE STE 6Lakeland, FL 33801-5237

Mailing Address47 5th St NwWinter Haven, FL 33881-4672 · (866) 234-8534

Phone(866) 234-8534

Sole ProprietorNo

Enumeration DateJanuary 21, 2025

Last NPPES UpdateMarch 20, 2025

NPPES CertifiedMarch 20, 2025

✔ NPI 1104638915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in FL · APRN11035710

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11035710 (FL)

601 S FLORIDA AVE STE 6, Lakeland, FL 33801

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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)

Tiffany Marie Tucker 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33801 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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Other Providers at the Same Location NPPES 7

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

MARRON LEE CPNP

Nurse Practitioner (Pediatrics)