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CAROL A TUCKER NP
NPI 1437242393
Nurse Practitioner in Lansing, MI

Active since October 02, 2006PECOS Enrolled
1200 E MICHIGAN AVE, SUITE 340, LANSING, MI 48912(517) 364-5955(517) 364-5959 Get Directions Write a Review

NPPES record last updated: September 12, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carol A Tucker Np NPPES

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

CAROL A TUCKER NP (NPI 1437242393) is an individual nurse practitioner in Lansing, Michigan, licensed in Michigan (4704124272) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437242393
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAROL A TUCKERCredential: NP
Location Address1200 E MICHIGAN AVE, SUITE 340Lansing, MI 48912-1800
Mailing Address1200 E Michigan Ave, Suite 340Lansing, MI 48912-1800 · (517) 364-5955 · Fax (517) 364-5959
Phone(517) 364-5955
Fax(517) 364-5959
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateSeptember 12, 2014
✔ NPI 1437242393 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 MI · 4704124272
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.
1200 E MICHIGAN AVE, Lansing, MI 48912
Open in Google Maps ↗

Other Names 1

Professional Name (2)Carol A Tucker Msn Rn Cde Aprn Np

Other Identifiers 2

Medicare ID-Type UnspecifiedN50760003MI · Upin Q73397
Medicaid4910775MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carol A Tucker Np 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.

Areas of Expertise CMS Part B claims 3

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.

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.
132 services68 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
45 services29 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.
20 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48912 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
35%74 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
38%115 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers37 claims436 services$18.40 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers38 claims1,196 services$2.31 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
28 suppliers82 claims377 services$6.02 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers37 claims79 services$0.94 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers46 claims46 services$307.13 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
7 suppliers16 claims2,800 services$5.95 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 20

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

SHIMIA ISAAC D.O.
Family Medicine
1200 E MICHIGAN AVE, SUITE 245
LANSING, MI 48912
Ingham County (517) 364-5772
DEBRA MARIE PIERCE M.D.
Surgery
1200 E MICHIGAN AVE, SUITE 655
LANSING, MI 48912
Ingham County (517) 267-2460
KATRINA ANNE WEIRAUCH ENGLE D.O.
Family Medicine
1200 E MICHIGAN AVE, SUITE 245-C
LANSING, MI 48912
Ingham County (517) 364-5772
CHARLES E THOMAS P.A.
Physician Assistant
1200 E MICHIGAN AVE, SUITE 655
LANSING, MI 48912
Ingham County (517) 267-2460
MR. IMU AMIRALI ESMAIL MD
Anesthesiology
1200 E MICHIGAN AVE, SUITE 370
LANSING, MI 48912
Ingham County (517) 484-4451
DR. RENUKA GERA M.D.
Pediatrics (Pediatric Hematology-Oncology)
1200 E MICHIGAN AVE, STE 145
LANSING, MI 48912
Ingham County (517) 364-5440
DAVID MALDONADO
Technician/Technologist (Optician)
1200 E MICHIGAN AVE, SUITE 110
LANSING, MI 48912
Ingham County (517) 364-5875
TONI MARIE MCFARLAND M.A., L.P.C.
Counselor
1200 E MICHIGAN AVE, SUITE 630
LANSING, MI 48912
Ingham County (517) 364-5130

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 Carol Tucker's NPI number?

The NPI number for Carol Tucker is 1437242393. It was assigned to this individual provider in the NPPES registry on October 2, 2006. The provider is also known as Carol A Tucker Msn Rn Cde Aprn Np.

Where is Carol Tucker located?

Carol Tucker practices at 1200 E Michigan Ave Suite 340, Lansing, MI 48912. The listed phone number is (517) 364-5955.

What is Carol Tucker's specialty?

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

Is Carol Tucker enrolled in Medicare?

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

What insurance does Carol Tucker accept?

Health plans from McLaren Health Plan Community and Priority Health list Carol Tucker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carol Tucker was last updated on September 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.