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LISA F TUCKER APRN, CNP
NPI 1124302435
Nurse Practitioner - Neonatal in Urbana, IL

Active since October 05, 2011PECOS Enrolled
611 W PARK ST, NEONATOLOGY, URBANA, IL 61801(217) 383-3266(217) 383-3463 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa F Tucker Aprn, Cnp NPPES

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

LISA F TUCKER APRN, CNP (NPI 1124302435) is an individual neonatal provider in Urbana, Illinois, licensed in Illinois (277002328) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124302435
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameLISA F TUCKERCredential: APRN, CNP
Location Address611 W PARK ST, NEONATOLOGYUrbana, IL 61801-2500
Mailing Address611 W. Park St., BwpcUrbana, IL 61801-2500 · (217) 383-6792 · Fax (217) 383-4752
Phone(217) 383-3266
Fax(217) 383-3463
Sole ProprietorNo
Enumeration DateOctober 5, 2011
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1124302435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in IL · 277002328
611 W PARK ST, Urbana, IL 61801
Open in Google Maps ↗

Other Names 1

Former Name (1)Lisa F Davis Aprn, Cnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa F Tucker Aprn, Cnp 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lisa Tucker reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle Health Medical Group
0.7 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Carle West Physician Group Inc
48 mi
Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
NPI 1467074138 (309) 556-8295
Osf Multi-Specialty Group
89 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050

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 61801 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

DR. UDAY BHASKAR KANAKADANDI MD
Internal Medicine (Interventional Cardiology)
611 W PARK ST, HVI
URBANA, IL 61801
Champaign County (217) 383-3110
DR. VIKAS DESAI MD
Urology
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3160
ANUJA BEDI D.O, M.P.H
Family Medicine
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
EMILY REMINGTON NP
Nurse Practitioner (Women's Health)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3140
MAHMOUD ELRAKHAWY MD
Surgery (Vascular Surgery)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 904-7000
KENDALL E WALLACE APRN
Nurse Practitioner (Family)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
ANNE FAHNESTOCK PT
Physical Therapist
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
TIMTIM APPERSON APRN
Family Medicine
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 954-2805

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 1124302435. It was assigned to this individual provider in the NPPES registry on October 5, 2011. The provider is also known as Lisa F Davis Aprn, Cnp.

Where is Lisa Tucker located?

Lisa Tucker practices at 611 W Park St Neonatology, Urbana, IL 61801. The listed phone number is (217) 383-3266.

What is Lisa Tucker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Lisa Tucker enrolled in Medicare?

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

Which organizations bill Medicare for Lisa Tucker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Tucker reassigns Medicare benefits to 3 organizations: Carle Health Medical Group (Urbana, IL), Carle West Physician Group Inc (Normal, IL) and Osf Multi-Specialty Group (Peoria, IL). Each 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.

When was this NPI record last updated?

The NPPES record for Lisa Tucker was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.