COURTNEY TUCKER NP
NPI 1457958910
Nurse Practitioner - Pediatrics in Pascagoula, MS

Q: What is Courtney Tucker's NPI number?

The NPI number for Courtney Tucker is 1457958910. It was assigned to this individual provider in the NPPES registry on October 7, 2020.

Q: What is Courtney Tucker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Tucker was last updated on October 7, 2020. 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.

Active since October 07, 2020PECOS Enrolled

2809 DENNY AVE, PASCAGOULA, MS 39581(228) 809-5000 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Courtney Tucker Np NPPES

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

COURTNEY TUCKER NP (NPI 1457958910) is an individual pediatrics provider in Pascagoula, Mississippi, licensed in Mississippi (904215) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457958910

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameCOURTNEY TUCKERCredential: NP

Location Address2809 DENNY AVEPascagoula, MS 39581-5301

Mailing Address11526 Old Highway 43Axis, AL 36505-4305 · (251) 591-7471

Phone(228) 809-5000

Sole ProprietorNo

Enumeration DateOctober 7, 2020

NPPES CertifiedOctober 7, 2020

✔ NPI 1457958910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MS · 904215

2809 DENNY AVE, Pascagoula, MS 39581

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare, UnitedHealthcare.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)

Courtney 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39581 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

AMANDA GRAHAM DOBBINS CRNA

Nurse Anesthetist, Certified Registered