KATHERINE DENISE TUCKER CRNP
NPI 1215775622
Nurse Practitioner - Family in Philadelphia, PA
About Katherine Denise Tucker Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE DENISE TUCKER CRNP (NPI 1215775622) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP030153) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Katherine Denise Tucker Crnp 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.
Medicare Billing Reassignments
4Medicare enrollment records show Katherine Tucker reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19133
- Reassigned Medicare billing, Pennsylvania enrollment
- 30 clinicians in this Medicare group
Hackensack, NJ 07601
- Reassigned Medicare billing, Pennsylvania enrollment
- 52 clinicians in this Medicare group
Hackensack, NJ 07601
- Reassigned Medicare billing, Pennsylvania enrollment
- 43 clinicians in this Medicare group
Hackensack, NJ 07601
- Reassigned Medicare billing, Pennsylvania enrollment
- 42 clinicians in this Medicare group
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 19124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19124
PHILADELPHIA, PA 19124
PHILADELPHIA, PA 19124
PHILADELPHIA, PA 19124
PHILADELPHIA, PA 19124
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 Katherine Tucker's NPI number?
The NPI number for Katherine Tucker is 1215775622. It was assigned to this individual provider in the NPPES registry on July 18, 2024. The provider is also known as Katherine Denise Tucker Crnp.
Where is Katherine Tucker located?
Katherine Tucker practices at 5000 Frankford Ave, Philadelphia, PA 19124. The listed phone number is (267) 819-1500.
What is Katherine Tucker's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Katherine Tucker enrolled in Medicare?
Yes. Katherine 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.
Which organizations bill Medicare for Katherine Tucker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Tucker reassigns Medicare benefits to 4 organizations: Ahpaffs,llc (Philadelphia, PA), Ennoble Hc Nj PC (Hackensack, NJ), Ennoble Hc Nj II PC (Hackensack, NJ) and Ennoble Hc Nj III PC (Hackensack, NJ). Each 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 Katherine 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 Katherine Tucker was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Katherine Denise Tucker, CRNP · NPI 1215775622
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 18, 2024.
## Identity
- **NPI:** 1215775622 (Entity type: Individual)
- **Enumerated:** July 18, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP030153 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 5000 FRANKFORD AVE, Philadelphia, PA 19124-2620
- **Phone:** (267) 819-1500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Ahpaffs,llc (NPI 1275985814, Philadelphia, PA); Ennoble Hc Nj PC (NPI 1306500764, Hackensack, NJ); Ennoble Hc Nj II PC (NPI 1871475806, Hackensack, NJ); Ennoble Hc Nj III PC (NPI 1043192099, Hackensack, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215775622) · Data from the CMS NPPES public registry.