TAMIQUA JACKSON LUCKEY FNP-C, PMHNP-BC
NPI 1750717179
Nurse Practitioner - Psychiatric/Mental Health in Raleigh, NC

Q: What is Tamiqua Jackson Luckey's NPI number?

The NPI number for Tamiqua Jackson Luckey is 1750717179. It was assigned to this individual provider in the NPPES registry on September 17, 2013.

Q: What is Tamiqua Jackson Luckey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since September 17, 2013PECOS EnrolledAccepts Medicare Assignment

8406 SIX FORKS RD STE 104, RALEIGH, NC 27615(919) 642-4857(855) 484-7483 Get Directions Write a Review

NPPES record last updated: December 2, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 1, 2021, Oct 17, 2019 (2 updates tracked since 2019).

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About Tamiqua Jackson Luckey Fnp-c, Pmhnp-bc NPPES

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

TAMIQUA JACKSON LUCKEY FNP-C, PMHNP-BC (NPI 1750717179) is an individual psychiatric/mental health provider in Raleigh, North Carolina, licensed in North Carolina (5006558) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1750717179

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTAMIQUA JACKSON LUCKEYCredential: FNP-C, PMHNP-BC

Location Address8406 SIX FORKS RD STE 104Raleigh, NC 27615-3075

Mailing Address8406 Six Forks Rd Ste 104Raleigh, NC 27615-3075 · (919) 642-4857 · Fax (855) 484-7483

Phone(919) 642-4857

Fax(855) 484-7483

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 17, 2013

Last NPPES UpdateDecember 2, 20232 updates tracked since enumeration

NPPES CertifiedDecember 2, 2023

✔ NPI 1750717179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0808X

License✔ Licensed in NC · 5006558

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5006558 (NC)

8406 SIX FORKS RD STE 104, Raleigh, NC 27615

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, CareSource, Oscar Health Plan of North Carolina, Inc and more.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

Tamiqua Jackson Luckey Fnp-c, 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 ID3577792886

PECOS Enrollment IDI20140207001668

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 3

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

76 services16 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.

76 services17 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27615 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 13

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

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