MR. JERRY LAN TUCKER RDN
NPI 1952095556
Dietitian, Registered - Nutrition, Oncology in Albuquerque, NM
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jerry Tucker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albuquerque, NM 87109
- Reassigned Medicare billing, New Mexico enrollment
- 554 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.
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.
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.
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
ALBUQUERQUE, NM 87102
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.
Which organization bills Medicare for Jerry Tucker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Tucker reassigns Medicare benefits to Southwest Medical Associates, LLC (Albuquerque, NM). The 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 Jerry Tucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jerry Tucker accept?
Health plans from Blue Cross and Blue Shield of NC 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.
# Mr. Jerry Lan Tucker, RDN · NPI 1952095556
Nutrition, Oncology provider in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since June 6, 2023.
## Identity
- **NPI:** 1952095556 (Entity type: Individual)
- **Enumerated:** June 6, 2023
- **Primary specialty:** Dietitian, Registered - Nutrition, Oncology · taxonomy 133VN1301X
- **State license:** LD2023084 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 715 DR MARTIN LUTHER KING JR AVE NE STE 102, Albuquerque, NM 87102-3666
- **Phone:** (505) 727-3028
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Southwest Medical Associates, LLC (NPI 1164491072, Albuquerque, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** June 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1952095556) · Data from the CMS NPPES public registry.