SHANNON L TUCKER AGPCNP
NPI 1386048023
Nurse Practitioner - Adult Health in Saint Louis, MO

Active since October 09, 2014PECOS EnrolledAccepts Medicare Assignment
3009 N BALLAS RD, STE 264C, SAINT LOUIS, MO 63131(314) 996-7940(314) 996-7945 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon L Tucker Agpcnp NPPES

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

SHANNON L TUCKER AGPCNP (NPI 1386048023) is an individual adult health provider in Saint Louis, Missouri, licensed in Missouri (2014036832) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Missouri Baptist Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1386048023
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHANNON L TUCKERCredential: AGPCNP
Location Address3009 N BALLAS RD, STE 264CSaint Louis, MO 63131-2322
Mailing Address670 Mason Ridge Center Dr, Ste 300Saint Louis, MO 63141-8573 · (314) 996-7940 · Fax (314) 996-7945
Fax(314) 996-7945
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 9, 2014
Last NPPES UpdateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
NPI 1386048023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MO · 2014036832
Also ListedRegistered NurseTaxonomy 163W00000X · License 2006019382 (MO)
3009 N BALLAS RD, Saint Louis, MO 63131

Other Names 1

Former Name (1)Shannon L Stover

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shannon L Tucker Agpcnp 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.

PECOS PAC ID2264755610
PECOS Enrollment IDI20141216001987
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 6

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
500 services389 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
282 services251 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
177 services151 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
54 services53 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
41 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Dermatology (MOHS-Micrographic Surgery)
3009 N BALLAS RD, STE 235A
SAINT LOUIS, MO 63131
Physician Assistant
3009 N BALLAS RD, BUILDING B, SUITE 202
SAINT LOUIS, MO 63131
Internal Medicine
3009 N BALLAS RD, SUITE 300A
SAINT LOUIS, MO 63131
Internal Medicine
3009 N BALLAS RD, SUITE 300A
SAINT LOUIS, MO 63131
Clinic/Center (Primary Care)
3009 N BALLAS RD, SUITE 315A
SAINT LOUIS, MO 63131
Surgery (Surgery of the Hand)
3009 N BALLAS RD, DEPT ORTHOPAEDIC SURGERY, STE 320
SAINT LOUIS, MO 63131
Internal Medicine
3009 N BALLAS RD, SUITE 227A
SAINT LOUIS, MO 63131
Specialist
3009 N BALLAS RD, STE 215B
SAINT LOUIS, MO 63131

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 Shannon Tucker's NPI number?

The NPI number for Shannon Tucker is 1386048023. It was assigned to this individual provider in the NPPES registry on October 9, 2014. The provider is also known as Shannon L Stover.

Where is Shannon Tucker located?

Shannon Tucker practices at 3009 N Ballas Rd Ste 264C, Saint Louis, MO 63131. The listed phone number is (314) 996-7940.

What is Shannon Tucker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Shannon Tucker enrolled in Medicare?

Yes. Shannon 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.

Is Shannon Tucker affiliated with any hospitals?

According to CMS data, Shannon Tucker is affiliated with Missouri Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Shannon Tucker was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.