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CHRISTOPHER GARRISON TUCKER MD
NPI 1548904345
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 27, 2022PECOS Enrolled
420 DELAWARE ST SE # 913, MINNEAPOLIS, MN 55455(612) 624-0990 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2024, Apr 27, 2022 (2 updates tracked since 2022).

About Christopher Garrison Tucker Md NPPES

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

CHRISTOPHER GARRISON TUCKER MD (NPI 1548904345) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548904345
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHRISTOPHER GARRISON TUCKERCredential: MD
Location Address420 DELAWARE ST SE # 913Minneapolis, MN 55455-0341
Mailing Address420 Delaware St Se # 913Minneapolis, MN 55455-0341 · (612) 624-0990
Phone(612) 624-0990
Sole ProprietorNo
Enumeration DateApril 27, 2022
Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1548904345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
420 DELAWARE ST SE # 913, Minneapolis, MN 55455
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christopher Garrison Tucker Md 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.

Other Providers at the Same Location NPPES

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

EVELYN SHEN
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE # 913
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-0990

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 Christopher Tucker's NPI number?

The NPI number for Christopher Tucker is 1548904345. It was assigned to this individual provider in the NPPES registry on April 27, 2022.

Where is Christopher Tucker located?

Christopher Tucker practices at 420 Delaware St SE # 913, Minneapolis, MN 55455. The listed phone number is (612) 624-0990.

What is Christopher Tucker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Christopher Tucker enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Christopher Tucker was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.