MALLORY PAIGE TUCKER PA-C
NPI 1861751349
Physician Assistant - Surgical in Tallahassee, FL

Active since May 03, 2012PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
1401 CENTERVILLE RD STE G02, TALLAHASSEE, FL 32308(850) 431-2100(850) 431-2199 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mallory Paige Tucker Pa-c NPPES

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

MALLORY PAIGE TUCKER PA-C (NPI 1861751349) is an individual surgical provider in Tallahassee, Florida, licensed in Florida (PA9106576) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Tallahassee Memorial Healthcare, and maintains a secondary practice location in Tallahassee.

NPPES Registry Identity

NPI1861751349
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMALLORY PAIGE TUCKERCredential: PA-C
Location Address1401 CENTERVILLE RD STE G02Tallahassee, FL 32308-4638
Mailing Address1401 Centerville Rd Ste G02Tallahassee, FL 32308-4638 · (850) 431-2100 · Fax (850) 431-2199
Fax(850) 431-2199
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 3, 2012
Last NPPES UpdateJune 14, 2022
NPPES CertifiedJune 14, 2022
NPI 1861751349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA9106576
1401 CENTERVILLE RD STE G02, Tallahassee, FL 32308

Secondary Practice Location 1

Location 12452 Mahan Dr, Suite 101Tallahassee, FL 32308-5373 · Phone (850) 877-2126 · Fax (850) 878-5190

Accepted 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

Mallory Paige Tucker Pa-c 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 ID941465470
PECOS Enrollment IDI20120706000169
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tallahassee Memorial Healthcare

Acute Care Hospitals · Tallahassee, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100135
Location1300 Miccosukee RdTallahassee, FL 32308 · Leon County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Surgery
1401 CENTERVILLE RD STE G02
TALLAHASSEE, FL 32308
Surgery (Trauma Surgery)
1401 CENTERVILLE RD STE G02
TALLAHASSEE, FL 32308
Internal Medicine (Pulmonary Disease)
1401 CENTERVILLE RD STE G02
TALLAHASSEE, FL 32308
Surgery
1401 CENTERVILLE RD STE G02
TALLAHASSEE, FL 32308
Internal Medicine (Pulmonary Disease)
1401 CENTERVILLE RD STE G02
TALLAHASSEE, FL 32308
Surgery
1401 CENTERVILLE RD STE G02
TALLAHASSEE, FL 32308
Surgery
1401 CENTERVILLE RD STE G02
TALLAHASSEE, FL 32308
Nurse Practitioner (Family)
1401 CENTERVILLE RD STE G02
TALLAHASSEE, FL 32308

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 Mallory Tucker's NPI number?

The NPI number for Mallory Tucker is 1861751349. It was assigned to this individual provider in the NPPES registry on May 3, 2012.

Where is Mallory Tucker located?

Mallory Tucker practices at 1401 Centerville Rd Ste G02, Tallahassee, FL 32308. The listed phone number is (850) 431-2100.

What is Mallory Tucker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mallory Tucker enrolled in Medicare?

Yes. Mallory Tucker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mallory Tucker accept?

Health plans from Ambetter Health, Ambetter of Alabama and UnitedHealthcare list Mallory 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.

Is Mallory Tucker affiliated with any hospitals?

According to CMS data, Mallory Tucker is affiliated with Tallahassee Memorial Healthcare.

When was this NPI record last updated?

The NPPES record for Mallory Tucker was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.