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

Q: 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.

Q: What is Lisa Tucker's specialty?

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

Q: 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 22 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 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: August 16, 2026.

On this page

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

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Other Names 1

Former Name (1)Lisa F Davis Aprn, Cnp

Medicare Participation & PECOS CMS

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

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.

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