KAITLYN TUCKER CNP
NPI 1164068805
Nurse Practitioner - Family in Springfield, IL

Active since November 18, 2019PECOS EnrolledAccepts Medicare Assignment
800 N 1ST ST, SPRINGFIELD, IL 62702(217) 528-7541 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2023, Nov 18, 2019 (2 updates tracked since 2019).

About Kaitlyn Tucker Cnp NPPES

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

KAITLYN TUCKER CNP (NPI 1164068805) is an individual family provider in Springfield, Illinois, licensed in Illinois (209.020167) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and maintains a secondary practice location in Sherman.

NPPES Registry Identity

NPI1164068805
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAITLYN TUCKERCredential: CNP
Location Address800 N 1ST STSpringfield, IL 62702-3778
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 18, 2019
Last NPPES UpdateOctober 6, 20232 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
NPI 1164068805 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 IL · 209.020167
800 N 1ST ST, Springfield, IL 62702

Other Names 1

Former Name (1)Kaitlyn Stauffer

Secondary Practice Location 1

Location 126 Knollwood DrSherman, IL 62684-9559 · Phone (217) 828-0764

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

Kaitlyn Tucker Cnp 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 ID8426403825
PECOS Enrollment IDI20231004002262
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 11

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
115 services98 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
91 services78 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
78 services54 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
71 services68 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
43 services31 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
37 services35 patients

Hospital Affiliations CMS Care Compare 4

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Taylorville Memorial Hospital

Critical Access Hospitals · Taylorville, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141339
Location201 East Pleasant StreetTaylorville, IL 62568 · Christian County
Emergency services

Pana Community Hospital

Critical Access Hospitals · Pana, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141341
Location101 E Ninth StreetPana, IL 62557 · Christian County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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.

Physical Therapy Assistant
800 N 1ST ST
SPRINGFIELD, IL 62702
Physician Assistant
800 N 1ST ST
SPRINGFIELD, IL 62702
Physician Assistant (Surgical)
800 N 1ST ST
SPRINGFIELD, IL 62702
Physical Therapist
800 N 1ST ST
SPRINGFIELD, IL 62702
Nurse Practitioner (Family)
800 N 1ST ST
SPRINGFIELD, IL 62702
Physical Therapist
800 N 1ST ST
SPRINGFIELD, IL 62702
Internal Medicine (Cardiovascular Disease)
800 N 1ST ST
SPRINGFIELD, IL 62702
Internal Medicine (Interventional Cardiology)
800 N 1ST ST
SPRINGFIELD, IL 62702

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 Kaitlyn Tucker's NPI number?

The NPI number for Kaitlyn Tucker is 1164068805. It was assigned to this individual provider in the NPPES registry on November 18, 2019. The provider is also known as Kaitlyn Stauffer.

Where is Kaitlyn Tucker located?

Kaitlyn Tucker practices at 800 N 1st St, Springfield, IL 62702. The listed phone number is (217) 528-7541.

What is Kaitlyn Tucker's specialty?

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

Is Kaitlyn Tucker enrolled in Medicare?

Yes. Kaitlyn 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.

Is Kaitlyn Tucker affiliated with any hospitals?

According to CMS data, Kaitlyn Tucker is affiliated with St Johns Hospital, Memorial Medical Center, Taylorville Memorial Hospital and Pana Community Hospital.

When was this NPI record last updated?

The NPPES record for Kaitlyn Tucker was last updated on October 6, 2023. 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.