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

Q: 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.

Q: What is Carrie 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 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.

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 04, 2026.

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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

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Other Identifiers 2

Medicaid318788279001IL

Medicare PINF400263578IL

Medicare Participation & PECOS CMS

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

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.

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)