DR. SUSAN CHRISTINE TUCKER MD
NPI 1851141535
Student in an Organized Health Care Education/Training Program in Jackson, MI

Q: What is Susan Tucker's NPI number?

The NPI number for Susan Tucker is 1851141535. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Susan Tucker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Tucker was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since March 25, 2024PECOS Enrolled

205 N EAST AVE, JACKSON, MI 49201(501) 766-1182 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Susan Christine Tucker Md NPPES

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

DR. SUSAN CHRISTINE TUCKER MD (NPI 1851141535) is an individual student in an organized health care education/training program in Jackson, Michigan and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851141535

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. SUSAN CHRISTINE TUCKERCredential: MD

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address4 Broadview TerLittle Rock, AR 72207-5115

Phone(501) 766-1182

Sole ProprietorNo

Enumeration DateMarch 25, 2024

NPPES CertifiedMarch 25, 2024

✔ NPI 1851141535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

205 N EAST AVE, Jackson, MI 49201

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Christine Tucker Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

SAMANTHA RENE DANEK PA-C

Physician Assistant