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KRISTEN ELAINE TUCKER PA-C
NPI 1457785263
Physician Assistant in Jacksonville, FL

Active since August 28, 2013PECOS Enrolled
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204(904) 308-7497(954) 858-0404 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristen Elaine Tucker Pa-c NPPES

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

KRISTEN ELAINE TUCKER PA-C (NPI 1457785263) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9104439) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457785263
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTEN ELAINE TUCKERCredential: PA-C
Location Address1 SHIRCLIFF WAYJacksonville, FL 32204-4748
Mailing Address1500 Concord TerSunrise, FL 33323-2815 · (800) 243-3839 · Fax (954) 858-0404
Phone(904) 308-7497
Fax(954) 858-0404
Sole ProprietorNo
Enumeration DateAugust 28, 2013
Last NPPES UpdateJune 10, 2014
✔ NPI 1457785263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9104439
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA9104439 (FL)
1 SHIRCLIFF WAY, Jacksonville, FL 32204
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Other Identifiers 3

Medicaid010132800FL
Medicaid003140585AGA
Medicare PINHP696ZFL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Elaine Tucker Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

COMPREHENSIVE CARE PARTNERS LLC
Surgery
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (352) 250-2650
DR. SARAH ANNE PISCITELLO CRNA
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 477-5855
MRS. JENNIFER ANNE ALLEN NP
Nurse Practitioner (Critical Care Medicine)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
MAX T BILLINGSLEY MD
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY, EMERGENCY DEPARTMENT
JACKSONVILLE, FL 32204
Duval County (904) 346-5426
TABITHA JAY BARRETT CRNA
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (954) 939-5216
PAUL D LUCEY MD
Emergency Medicine
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
WILBUR L AUGENSTEIN MD
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
CHANEL WOOD MD
Radiology (Diagnostic Radiology)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300

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 Kristen Tucker's NPI number?

The NPI number for Kristen Tucker is 1457785263. It was assigned to this individual provider in the NPPES registry on August 28, 2013.

Where is Kristen Tucker located?

Kristen Tucker practices at 1 Shircliff Way, Jacksonville, FL 32204. The listed phone number is (904) 308-7497.

What is Kristen Tucker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kristen Tucker enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kristen Tucker was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.