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MR. JERRY LAN TUCKER RDN
NPI 1952095556
Dietitian, Registered - Nutrition, Oncology in Albuquerque, NM

Active since June 06, 2023Accepts Medicare Assignment
715 DR MARTIN LUTHER KING JR AVE NE STE 102, ALBUQUERQUE, NM 87102(505) 727-3028 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jerry Lan Tucker Rdn NPPES

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

MR. JERRY LAN TUCKER RDN (NPI 1952095556) is an individual nutrition, oncology provider in Albuquerque, New Mexico, licensed in New Mexico (LD2023084) and active in the NPI registry since June 2023. He is a graduate of Other (1989).

NPPES Registry Identity

NPI1952095556
Entity TypeIndividualMale
Primary Taxonomy133VN1301X
Provider Legal NameMR. JERRY LAN TUCKERCredential: RDN
Location Address715 DR MARTIN LUTHER KING JR AVE NE STE 102Albuquerque, NM 87102-3666
Mailing Address8201 Golf Course Rd Nw Ste 183Albuquerque, NM 87120-5842 · (917) 334-2823
Phone(505) 727-3028
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJune 6, 2023
NPPES CertifiedJune 6, 2023
✔ NPI 1952095556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, OncologyDietary & Nutritional Service Providers
Taxonomy Code133VN1301X
License✔ Licensed in NM · LD2023084
Definition
An individual who is a Board Certified Specialist in Oncology Nutrition and provides direct nutrition care for individuals at risk for or diagnosed with cancer. RDNs working directly with individuals at risk for, or diagnosed with, any type of malignancy or pre-malignant condition, in a variety of settings (e.g. hospitals, clinics, cancer centers, hospices, public health), OR indirectly through roles in management, education, industry, and research practice linked specifically to oncology nutrition. RDN who works indirectly with oncology nutrition through roles in management, education, industry, and research.
715 DR MARTIN LUTHER KING JR AVE NE STE 102, Albuquerque, NM 87102
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.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

Mr. Jerry Lan Tucker Rdn 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 ID143681551
PECOS Enrollment IDI20230802000299

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.

Therapy procedure for nutrition management, each 15 minutes 97802
This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.
17 services12 patients

Other Providers at the Same Location NPPES 3

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

DR. PAUL ALLEN BRITTAIN MD
Internal Medicine (Hematology & Oncology)
715 DR MARTIN LUTHER KING JR AVE NE STE 102
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-3040
SCOTT HERBERT MD
Internal Medicine (Hematology & Oncology)
715 DR MARTIN LUTHER KING JR AVE NE STE 102
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-3040
MUHAMMAD ANAS TARAKJI MD
Internal Medicine (Hematology & Oncology)
715 DR MARTIN LUTHER KING JR AVE NE STE 102
ALBUQUERQUE, NM 87102
Bernalillo County (505) 727-3040

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 Jerry Tucker's NPI number?

The NPI number for Jerry Tucker is 1952095556. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Where is Jerry Tucker located?

Jerry Tucker practices at 715 Dr Martin Luther King Jr Ave NE Ste 102, Albuquerque, NM 87102. The listed phone number is (505) 727-3028.

What is Jerry Tucker's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Oncology, with taxonomy code 133VN1301X.

Is Jerry Tucker enrolled in Medicare?

Yes. Jerry 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 Jerry Tucker accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Jerry 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 Jerry Tucker was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.