MRS. LISA YOLANDA MOORE TUCKER FNP
NPI 1679093462
Nurse Practitioner - Family in Columbia, SC

Q: What is Lisa Tucker's NPI number?

The NPI number for Lisa Tucker is 1679093462. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Q: What is Lisa Tucker's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Tucker was last updated on November 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 22, 2017PECOS EnrolledAccepts Medicare Assignment

111 DOCTOR CIR, COLUMBIA, SC 29203(800) 491-0909 Get Directions Write a Review

NPPES record last updated: November 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 9, 2022, Nov 12, 2021, Jul 22, 2021 and 1 more (4 updates tracked since 2017).

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About Mrs. Lisa Yolanda Moore Tucker Fnp NPPES

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

MRS. LISA YOLANDA MOORE TUCKER FNP (NPI 1679093462) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (24917) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1679093462

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LISA YOLANDA MOORE TUCKERCredential: FNP

Location Address111 DOCTOR CIRColumbia, SC 29203-6502

Mailing Address111 Doctor CirColumbia, SC 29203-6502 · (800) 491-0909

Phone(800) 491-0909

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJune 22, 2017

Last NPPES UpdateNovember 9, 20224 updates tracked since enumeration

NPPES CertifiedNovember 9, 2022

✔ NPI 1679093462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in SC · 24917

Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License 90318 (SC)

111 DOCTOR CIR, Columbia, SC 29203

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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lisa Yolanda Moore Tucker Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840680203

PECOS Enrollment IDI20211130000475

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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

411 services24 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

126 services34 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

58 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

46 services23 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

37 services12 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

22 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening

19%36 patients1/55-star benchmark: 93%

Cervical Cancer Screening

20%20 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

31%58 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

29%76 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

69%72 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

27%55 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

33%55 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

82%1,244 patients4/55-star benchmark: 100%

e-Prescribing

99%304 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

62%132 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

46%28 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

39%23 patients2/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

33%164 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 34% · 191 patients

34%191 patients

Provide Patients Electronic Access to Their Health Information

29%113 patients1/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

93%30 patients5/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 4% · 114 patients

Patients totalRate: 19% · 124 patients

19%124 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

7 suppliers38 claims38 services$176.20 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JAMES C WILLIAMSON PH.D., LMSW

Social Worker (Clinical)