KHUDSIATU TUCKER
NPI 1831707488
Nurse Practitioner - Psychiatric/Mental Health in Bladensburg, MD
About Khudsiatu Tucker NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KHUDSIATU TUCKER (NPI 1831707488) is an individual psychiatric/mental health provider in Bladensburg, Maryland, licensed in Maryland (R166523) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
Other Identifiers 2
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)
Khudsiatu Tucker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Khudsiatu Tucker reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Leesburg, VA 20176
- Reassigned Medicare billing, Virginia enrollment
- 276 clinicians in this Medicare group
Westminster, MD 21157
- Reassigned Medicare billing, Maryland enrollment
- 16 clinicians in this Medicare group
Wilmington, DE 19808
- Reassigned Medicare billing, Delaware enrollment
- 6 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20710 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Khudsiatu Tucker's NPI number?
The NPI number for Khudsiatu Tucker is 1831707488. It was assigned to this individual provider in the NPPES registry on July 20, 2020.
Where is Khudsiatu Tucker located?
Khudsiatu Tucker practices at 5632 Annapolis Rd Ste 11, Bladensburg, MD 20710. The listed phone number is (240) 486-7097.
What is Khudsiatu Tucker's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Khudsiatu Tucker enrolled in Medicare?
Yes. Khudsiatu Tucker is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Khudsiatu Tucker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Khudsiatu Tucker reassigns Medicare benefits to 3 organizations: Minuteclinic Diagnostic Of Virginia LLC (Leesburg, VA), Addiction Medication Clinic LLC (Westminster, MD) and Lotus Recovery Center Of Prices Corner (Wilmington, DE). 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 Khudsiatu Tucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Khudsiatu Tucker accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Highmark Blue Cross Blue Shield Delaware list Khudsiatu 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 Khudsiatu Tucker was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Khudsiatu Tucker · NPI 1831707488
Psychiatric/Mental Health physician in Bladensburg, Maryland. Individual provider, active in the CMS NPPES registry since July 20, 2020.
## Identity
- **NPI:** 1831707488 (Entity type: Individual)
- **Enumerated:** July 20, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R166523 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 5632 ANNAPOLIS RD STE 11, Bladensburg, MD 20710-2213
- **Phone:** (240) 486-7097
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Minuteclinic Diagnostic Of Virginia LLC (NPI 1417076829, Leesburg, VA); Addiction Medication Clinic LLC (NPI 1386215705, Westminster, MD); Lotus Recovery Center Of Prices Corner (NPI 1467045567, Wilmington, DE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 29, 2026
- **Other identifiers:** Medicaid 547056100 (MD); Medicaid 1831707488 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1831707488) · Data from the CMS NPPES public registry.