KELLY D TUCKER BERNAL LPC
NPI 1760468375
Counselor - Professional in Farmington, MO
About Kelly D Tucker Bernal Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY D TUCKER BERNAL LPC (NPI 1760468375) is an individual professional provider in Farmington, Missouri, licensed in Missouri (2016042812) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Potosi, and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly D Tucker Bernal Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Tucker Bernal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MO 65804
- Reassigned Medicare billing, Missouri enrollment
- 590 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
FARMINGTON, MO 63640
FARMINGTON, MO 63640
FARMINGTON, MO 63640
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 Kelly Tucker Bernal's NPI number?
The NPI number for Kelly Tucker Bernal is 1760468375. It was assigned to this individual provider in the NPPES registry on December 16, 2005. The provider is also known as Kelly Bernal.
Where is Kelly Tucker Bernal located?
Kelly Tucker Bernal practices at 1103 Weber Rd, Farmington, MO 63640. The listed phone number is (573) 664-1629.
What is Kelly Tucker Bernal's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kelly Tucker Bernal enrolled in Medicare?
Yes. Kelly Tucker Bernal is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Tucker Bernal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Tucker Bernal reassigns Medicare benefits to Burrell, Inc. (Springfield, MO). The 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 Kelly Tucker Bernal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Tucker Bernal accept?
Health plans from Anthem Blue Cross and Blue Shield list Kelly Tucker Bernal 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 Kelly Tucker Bernal was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kelly D Tucker Bernal, LPC · NPI 1760468375
Professional provider in Farmington, Missouri. Individual provider, active in the CMS NPPES registry since December 16, 2005.
## Identity
- **NPI:** 1760468375 (Entity type: Individual)
- **Enumerated:** December 16, 2005
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2016042812 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1103 WEBER RD, Farmington, MO 63640-3345
- **Phone:** (573) 664-1629 · **Fax:** (573) 431-6580
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Burrell, Inc. (NPI 1275541740, Springfield, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** July 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760468375) · Data from the CMS NPPES public registry.