Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAITLIN TUCKER FNP
NPI 1487453981
Nurse Practitioner - Family in Jacksonville, NC

Active since March 10, 2025PECOS Enrolled
612 COLLEGE ST, JACKSONVILLE, NC 28540(910) 347-2154 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 20, 2025, Mar 10, 2025 (2 updates tracked since 2025).

About Kaitlin Tucker Fnp NPPES

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

KAITLIN TUCKER FNP (NPI 1487453981) is an individual family provider in Jacksonville, North Carolina, licensed in North Carolina (5021796) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487453981
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAITLIN TUCKERCredential: FNP
Location Address612 COLLEGE STJacksonville, NC 28540-5311
Mailing Address612 College StJacksonville, NC 28540-5311 · (910) 347-2154 · Fax (910) 347-3165
Sole ProprietorNo
Enumeration DateMarch 10, 2025
Last NPPES UpdateOctober 20, 20262 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1487453981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NC · 5021796✔ Licensed in OH · 0035757
612 COLLEGE ST, Jacksonville, NC 28540

Other Names 1

Former Name (1)Kaitlin Ream

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlin Tucker Fnp 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 28540 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Nurse Practitioner (Family)
612 COLLEGE ST
JACKSONVILLE, NC 28540
Dietitian, Registered
612 COLLEGE ST
JACKSONVILLE, NC 28540
Pediatrics
612 COLLEGE ST
JACKSONVILLE, NC 28540
Dietitian, Registered
612 COLLEGE ST
JACKSONVILLE, NC 28540
Physician Assistant
612 COLLEGE ST
JACKSONVILLE, NC 28540
Registered Nurse
612 COLLEGE ST
JACKSONVILLE, NC 28540
Nurse Practitioner (Family)
612 COLLEGE ST
JACKSONVILLE, NC 28540
Nurse Practitioner (Family)
612 COLLEGE ST
JACKSONVILLE, NC 28540

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 Kaitlin Tucker's NPI number?

The NPI number for Kaitlin Tucker is 1487453981. It was assigned to this individual provider in the NPPES registry on March 10, 2025. The provider is also known as Kaitlin Ream.

Where is Kaitlin Tucker located?

Kaitlin Tucker practices at 612 College St, Jacksonville, NC 28540. The listed phone number is (910) 347-2154.

What is Kaitlin Tucker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kaitlin Tucker enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kaitlin Tucker was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.