HAE TUCKER PMHNP
NPI 1447002803
Nurse Practitioner - Psychiatric/Mental Health in Woodbridge, VA
About Hae Tucker Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAE TUCKER PMHNP (NPI 1447002803) is an individual psychiatric/mental health provider in Woodbridge, Virginia, licensed in Virginia (0024189826) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hae Tucker Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Hae Tucker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodbridge, VA 22192
- Reassigned Medicare billing, Virginia and District of Columbia enrollments
- Also billed through NPI 1306524285 (District of Columbia)
- 32 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 22191 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WOODBRIDGE, VA 22191
WOODBRIDGE, VA 22191
WOODBRIDGE, VA 22191
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 Hae Tucker's NPI number?
The NPI number for Hae Tucker is 1447002803. It was assigned to this individual provider in the NPPES registry on April 1, 2024.
Where is Hae Tucker located?
Hae Tucker practices at 1954 Opitz Blvd, Woodbridge, VA 22191. The listed phone number is (703) 492-2924.
What is Hae Tucker's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Hae Tucker enrolled in Medicare?
Yes. Hae Tucker is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Hae Tucker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hae Tucker reassigns Medicare benefits to Connections Healthva, LLC (Woodbridge, VA). The 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 Hae 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 Hae Tucker was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Hae Tucker, PMHNP · NPI 1447002803
Psychiatric/Mental Health physician in Woodbridge, Virginia. Individual provider, active in the CMS NPPES registry since April 1, 2024.
## Identity
- **NPI:** 1447002803 (Entity type: Individual)
- **Enumerated:** April 1, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0024189826 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1954 OPITZ BLVD, Woodbridge, VA 22191-3304
- **Phone:** (703) 492-2924
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Connections Healthva, LLC (NPI 1023791993, Woodbridge, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** May 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1447002803) · Data from the CMS NPPES public registry.