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CARRIE S. TUCKER NURSE PRACTITIONER
NPI 1194039289
Nurse Practitioner - Family in Springfield, IL

Active since July 30, 2010PECOS Enrolled
520 N 4TH ST, SPRINGFIELD, IL 62702(217) 545-8000(217) 747-1351 Get Directions Write a Review

NPPES record last updated: January 11, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carrie S. Tucker Nurse Practitioner NPPES

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

CARRIE S. TUCKER NURSE PRACTITIONER (NPI 1194039289) is an individual family provider in Springfield, Illinois, licensed in Illinois (209008262) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194039289
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARRIE S. TUCKERCredential: NURSE PRACTITIONER
Location Address520 N 4TH STSpringfield, IL 62702-5238
Mailing Address520 N 4th St, Po Box 19670Springfield, IL 62702-5238 · (217) 545-8000 · Fax (217) 747-1351
Phone(217) 545-8000
Fax(217) 747-1351
Sole ProprietorNo
Enumeration DateJuly 30, 2010
Last NPPES UpdateJanuary 11, 2016
✔ NPI 1194039289 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 · 209008262
520 N 4TH ST, Springfield, IL 62702
Open in Google Maps ↗

Other Identifiers 2

Medicaid318788279001IL
Medicare PINF400263578IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carrie S. Tucker Nurse Practitioner 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 Reassignment

Medicare enrollment records show Carrie Tucker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Board Of Trustees Of Southern Illinois University
0.7 mi
Primary Care
520 N 4TH ST
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 262 clinicians in this Medicare group
NPI 1396097960 (217) 757-8100

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 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.

MRS. AMANDA B HENSON LCSW
Social Worker (Clinical)
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. BASAR CENIK M.D.
Psychiatry & Neurology (Psychiatry)
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. HARI IYENGAR MD
Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 757-8100
DR. JOSEPH DOUGLAS WRIGHT DO
Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 757-8197
HELEN L MOOSE CNM-MS
Advanced Practice Midwife
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
JANET R ALBERS M.D.
Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
ANNETTE REESE
Community Health Worker
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
AMBER GUYTON
Advanced Practice Midwife
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Carrie Tucker's NPI number?

The NPI number for Carrie Tucker is 1194039289. It was assigned to this individual provider in the NPPES registry on July 30, 2010.

Where is Carrie Tucker located?

Carrie Tucker practices at 520 N 4th St, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Carrie Tucker's specialty?

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

Is Carrie Tucker enrolled in Medicare?

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

Which organization bills Medicare for Carrie Tucker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Tucker reassigns Medicare benefits to Board Of Trustees Of Southern Illinois University (Springfield, IL). The 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 Carrie 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 Carrie Tucker was last updated on January 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.