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MR. THOMAS EDWIN PUCKETT JR. N.P.
NPI 1346626876
Nurse Practitioner in Indianapolis, IN

Active since August 06, 2015PECOS Enrolled
3834 S EMERSON AVE, BLDG C STE 100, INDIANAPOLIS, IN 46203(317) 782-1577(888) 366-7577 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2018, Jul 19, 2018 (2 updates tracked since 2018).

About Mr. Thomas Edwin Puckett Jr. N.p. NPPES

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

MR. THOMAS EDWIN PUCKETT JR. N.P. (NPI 1346626876) is an individual nurse practitioner in Indianapolis, Indiana, licensed in Indiana (71005644A) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1346626876
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. THOMAS EDWIN PUCKETT JR.Credential: N.P.
Location Address3834 S EMERSON AVE, BLDG C STE 100Indianapolis, IN 46203
Mailing AddressPo Box 3299Carson City, NV 89702-3299 · (775) 222-0044 · Fax (888) 700-0187
Phone(317) 782-1577
Fax(888) 366-7577
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 6, 2015
Last NPPES UpdateAugust 2, 20182 updates tracked since enumeration
✔ NPI 1346626876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71005644A
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.
3834 S EMERSON AVE, Indianapolis, IN 46203
Open in Google Maps ↗

Other Identifiers 1

Medicaid201312180IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Thomas Edwin Puckett Jr. N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143535252
PECOS Enrollment IDI20150819007161
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 13

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
474 services151 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
361 services120 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
211 services154 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
113 services103 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
106 services61 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
80 services78 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46203 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers25 claims25 services$45.79 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier11 claims11 services$9.49 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
4 suppliers55 claims55 services$19.73 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
4 suppliers13 claims13 services$37.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

BRIDGET A. WITSKEN NP
Nurse Practitioner
3834 S EMERSON AVE, BUILDING C, SUITE 100
INDIANAPOLIS, IN 46203
Marion County (317) 782-1577
MRS. ABIGAIL G BORIS APRN
Nurse Practitioner (Adult Health)
3834 S EMERSON AVE, BLDG C STE 100
INDIANAPOLIS, IN 46203
Marion County (317) 782-1577
MR. BRYON W MILLER MSN RNC
Nurse Practitioner
3834 S EMERSON AVE, BUILDING C, SUITE 100
INDIANAPOLIS, IN 46203
Marion County (317) 782-1577
ANNABEL LACKEY AGNP
Nurse Practitioner (Gerontology)
3834 S EMERSON AVE
INDIANAPOLIS, IN 46203
Marion County (317) 781-2009
KELLI JOY BOVENKERK NP
Nurse Practitioner (Gerontology)
3834 S EMERSON AVE, BUILDING C, SUITE 100
INDIANAPOLIS, IN 46203
Marion County (775) 222-0044
DR. CHIJIOKE A. KALU M.D.
Family Medicine
3834 S EMERSON AVE, BUILDING C, SUITE 100
INDIANAPOLIS, IN 46203
Marion County (317) 782-1577
KRISTIN A TETER NP
Nurse Practitioner (Adult Health)
3834 S EMERSON AVE, BUILDING C, SUITE 100
INDIANAPOLIS, IN 46203
Marion County (317) 782-1577
ERIN TOFANI APRN
Nurse Practitioner (Family)
3834 S EMERSON AVE, BUILDING C, SUITE 100
INDIANAPOLIS, IN 46203
Marion County (317) 782-1577

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 Thomas Puckett's NPI number?

The NPI number for Thomas Puckett is 1346626876. It was assigned to this individual provider in the NPPES registry on August 6, 2015.

Where is Thomas Puckett located?

Thomas Puckett practices at 3834 S Emerson Ave Bldg C Ste 100, Indianapolis, IN 46203. The listed phone number is (317) 782-1577.

What is Thomas Puckett's specialty?

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

Is Thomas Puckett enrolled in Medicare?

Yes. Thomas Puckett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Puckett was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.