DEJANEA TUCKER
NPI 1235834698
Nurse Practitioner in Upper Marlboro, MD

Active since April 04, 2023PECOS Enrolled
660 HARRY S TRUMAN DR, UPPER MARLBORO, MD 20774(301) 442-6777 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2025, Feb 24, 2025, Sep 23, 2024 and 2 more (5 updates tracked since 2023).

About Dejanea Tucker NPPES

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

DEJANEA TUCKER (NPI 1235834698) is an individual nurse practitioner in Upper Marlboro, Maryland, licensed in Maryland (R219532) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with University Of Md Baltimore Washington Medical Center, and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1235834698
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDEJANEA TUCKER
Location Address660 HARRY S TRUMAN DRUpper Marlboro, MD 20774-2069
Mailing Address7751 Belfort Pkwy Ste 120Jacksonville, FL 32256-6921 · (904) 372-3943 · Fax (904) 212-1618
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 4, 2023
Last NPPES UpdateSeptember 17, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
NPI 1235834698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MD · R219532
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN1046777 (DC), R219532 (MD)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NP1046777 (DC), R219532 (MD)
660 HARRY S TRUMAN DR, Upper Marlboro, MD 20774

Secondary Practice Location 1

Location 11416 9th St NWWashington, DC 20001-3344 · Phone (202) 907-8305

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dejanea Tucker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052819877
PECOS Enrollment IDI20250909001298
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.

Hospital Affiliations CMS Care Compare

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

University Of MD Baltimore Washington Medical Center

Acute Care Hospitals · Glen Burnie, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210043
Location301 Hospital DriveGlen Burnie, MD 21061 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20774 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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

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

Clinic/Center (Primary Care)
660 HARRY S TRUMAN DR
UPPER MARLBORO, MD 20774

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 Dejanea Tucker's NPI number?

The NPI number for Dejanea Tucker is 1235834698. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Dejanea Tucker located?

Dejanea Tucker practices at 660 Harry S Truman Dr, Upper Marlboro, MD 20774. The listed phone number is (301) 442-6777.

What is Dejanea Tucker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Dejanea Tucker enrolled in Medicare?

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

Is Dejanea Tucker affiliated with any hospitals?

According to CMS data, Dejanea Tucker is affiliated with University Of MD Baltimore Washington Medical Center.

When was this NPI record last updated?

The NPPES record for Dejanea Tucker was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.