KERRY A TUCKER PMHNP-BC
NPI 1699383414
Nurse Practitioner - Psychiatric/Mental Health in Shepherdstown, WV
About Kerry A Tucker Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KERRY A TUCKER PMHNP-BC (NPI 1699383414) is an individual psychiatric/mental health provider in Shepherdstown, West Virginia, licensed in West Virginia (106714) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kerry A Tucker Pmhnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kerry Tucker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shepherdstown, WV 25443
- Reassigned Medicare billing, West Virginia enrollment
- 7 clinicians in this Medicare group
San Jose, CA 95119
- Reassigned Medicare billing, West Virginia enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 25443 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHEPHERDSTOWN, WV 25443
SHEPHERDSTOWN, WV 25443
SHEPHERDSTOWN, WV 25443
SHEPHERDSTOWN, WV 25443
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 Kerry Tucker's NPI number?
The NPI number for Kerry Tucker is 1699383414. It was assigned to this individual provider in the NPPES registry on July 17, 2020.
Where is Kerry Tucker located?
Kerry Tucker practices at 4781 Kearneysville Pike, Shepherdstown, WV 25443. The listed phone number is (304) 876-3500.
What is Kerry Tucker's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kerry Tucker enrolled in Medicare?
Yes. Kerry Tucker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kerry Tucker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Tucker reassigns Medicare benefits to 2 organizations: Potomac Crossroads Counseling, LLC (Shepherdstown, WV) and Sondermind PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kerry Tucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kerry Tucker accept?
Health plans from Highmark Blue Cross Blue Shield West Virginia and UnitedHealthcare list Kerry Tucker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kerry Tucker was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Kerry A Tucker, PMHNP-BC · NPI 1699383414
Psychiatric/Mental Health physician in Shepherdstown, West Virginia. Individual provider, active in the CMS NPPES registry since July 17, 2020.
## Identity
- **NPI:** 1699383414 (Entity type: Individual)
- **Enumerated:** July 17, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 106714 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4781 KEARNEYSVILLE PIKE, Shepherdstown, WV 25443-4666
- **Phone:** (304) 876-3500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Potomac Crossroads Counseling, LLC (NPI 1588873459, Shepherdstown, WV); Sondermind PC (NPI 1003646977, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1699383414) · Data from the CMS NPPES public registry.