KERRY A TUCKER PMHNP-BC - NPI 1699383414 - Nurse Practitioner in Shepherdstown, WV

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Kerry Tucker was last updated on July 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

NPI1699383414

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKERRY A TUCKERCredential: PMHNP-BC

Location Address4781 KEARNEYSVILLE PIKEShepherdstown, WV 25443-4666

Mailing AddressPo Box 192Shepherdstown, WV 25443-0192 · (304) 876-3500 · Fax (304) 254-6970

Phone(304) 876-3500

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 17, 2020

Last NPPES UpdateJuly 11, 20253 updates tracked since enumeration

NPPES CertifiedJuly 11, 2025

✔ NPI 1699383414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WV · 106714

4781 KEARNEYSVILLE PIKE, Shepherdstown, WV 25443

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

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

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.

PECOS PAC ID9032534250

PECOS Enrollment IDI20200805002284

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 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.

New Patient

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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 8

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

CAROLYN GEORGE LICSW

Social Worker (Clinical)