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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KHUDSIATU TUCKER
NPI 1831707488
Nurse Practitioner - Psychiatric/Mental Health in Bladensburg, MD

Active since July 20, 2020PECOS Enrolled
5632 ANNAPOLIS RD STE 11, BLADENSBURG, MD 20710(240) 486-7097 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2026, Jul 24, 2026, May 5, 2026 and 6 more (9 updates tracked since 2020).

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

NPI1831707488
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKHUDSIATU TUCKER
Location Address5632 ANNAPOLIS RD STE 11Bladensburg, MD 20710-2213
Mailing Address5632 Annapolis Rd Ste 11Bladensburg, MD 20710-2213 · (240) 486-7097
Phone(240) 486-7097
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 20, 2020
Last NPPES UpdateJuly 29, 20269 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1831707488 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
Licenses✔ Licensed in MD · R166523✔ Licensed in DC · RN1023913✔ Licensed in DE · L8-0011097
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0024179570 (VA), R166523 (MD)
5632 ANNAPOLIS RD STE 11, Bladensburg, MD 20710
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1407 Malcolm DrWestminster, MD 21157-6107 · Phone (443) 547-2964
Location 26791 James Madison HwyWarrenton, VA 20187-9534 · Phone (540) 655-2936 · Fax (540) 736-4371
Location 31812 Newport Gap PikeWilmington, DE 19808-6179 · Phone (302) 500-5997 · Fax (302) 500-5870
Location 4511 N Boardwalk Fl 1Rehoboth Beach, DE 19971-2162 · Phone (240) 486-7097

Other Identifiers 2

Medicaid547056100MD
Medicaid1831707488VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khudsiatu Tucker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587074455
PECOS Enrollment IDI20210830002337
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 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.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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

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

ABS CLINICAL SERVICES
Clinic/Center
5632 ANNAPOLIS RD STE 11
BLADENSBURG, MD 20710
Prince George's County (240) 486-7097

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.

What insurance does Khudsiatu Tucker accept?

Health plans from Providence Health Plan 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 17 days 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.