KELLY MARIE TUCKER FNP
NPI 1144003286
Nurse Practitioner - Family in Lockport, NY

Q: What is Kelly Tucker's NPI number?

The NPI number for Kelly Tucker is 1144003286. It was assigned to this individual provider in the NPPES registry on August 14, 2023.

Q: What is Kelly Tucker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Tucker was last updated on January 4, 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.

Active since August 14, 2023PECOS EnrolledAccepts Medicare Assignment

6950 S TRANSIT RD, LOCKPORT, NY 14094(716) 630-1335(716) 817-1770 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2024, Sep 7, 2023, Aug 14, 2023 (3 updates tracked since 2023).

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About Kelly Marie Tucker Fnp NPPES

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

KELLY MARIE TUCKER FNP (NPI 1144003286) is an individual family provider in Lockport, New York, licensed in New York (F352150-01) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Kenmore Mercy Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1144003286

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY MARIE TUCKERCredential: FNP

Location Address6950 S TRANSIT RDLockport, NY 14094-6333

Mailing Address425 Essjay Rd Ste 170Williamsville, NY 14221-8235 · (716) 630-1219 · Fax (716) 817-1726

Phone(716) 630-1335

Fax(716) 817-1770

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 14, 2023

Last NPPES UpdateJanuary 4, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2024

✔ NPI 1144003286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in NY · F352150-01

6950 S TRANSIT RD, Lockport, NY 14094

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Secondary Practice Locations 4

Location 11871 Phillips RdBurt, NY 14028-9712 · Phone (716) 425-2485

Location 23900 N Buffalo StOrchard Park, NY 14127-1842 · Phone (716) 630-1000 · Fax (716) 817-1770

Location 385 High StBuffalo, NY 14203-1194 · Phone (716) 630-1000 · Fax (716) 817-1770

Location 4325 Essjay RdWilliamsville, NY 14221-8243 · Phone (716) 630-1335 · Fax (716) 817-1770

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Marie Tucker Fnp 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.

PECOS PAC ID8729433834

PECOS Enrollment IDI20231010001891

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.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

26 services26 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kenmore Mercy Hospital

Acute Care Hospitals · Kenmore, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330102

Location2950 Elmwood AvenueKenmore, NY 14217 · Erie County

Emergency services

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330188

Location5300 Military RoadLewiston, NY 14092 · Niagara County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14094 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 7

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

DR. JOSEPH F CORIGLIANO DO

Family Medicine