KATHLEEN TUCKER RD
NPI 1992213193
Dietitian, Registered in Charlotte, NC

Active since January 22, 2018Accepts Medicare Assignment
95.35/100
CMS Quality Rating
4525 CAMERON VALLEY PKWY, STE 4100, CHARLOTTE, NC 28211(704) 302-9462 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 50 more (53 updates tracked since 2018).

About Kathleen Tucker Rd NPPES

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

KATHLEEN TUCKER RD (NPI 1992213193) is an individual dietitian, registered in Charlotte, North Carolina, licensed in North Carolina (L005193) and active in the NPI registry since January 2018. She maintains 4 additional practice locations and is a graduate of Other (1996).

NPPES Registry Identity

NPI1992213193
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKATHLEEN TUCKERCredential: RD
Location Address4525 CAMERON VALLEY PKWY, STE 4100Charlotte, NC 28211-4369
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 22, 2018
Last NPPES UpdateJuly 15, 202453 updates tracked since enumeration
✔ NPI 1992213193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NC · L005193
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
4525 CAMERON VALLEY PKWY, Charlotte, NC 28211

Secondary Practice Locations 4

Location 1270 Copperfield Blvd NE, Ste 102Concord, NC 28025-2441 · Phone (704) 786-6521
Location 24315 Physicians Blvd, STE 101Harrisburg, NC 28075-7430 · Phone (704) 455-6521
Location 31025 Morehead Medical Dr, Ste 450Charlotte, NC 28204-2963 · Phone (704) 446-7800
Location 48560 Cook StMount Pleasant, NC 28124-7686 · Phone (704) 436-6521

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

Kathleen Tucker Rd 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 ID5890057707
PECOS Enrollment IDI20180312002403

Medicare Billing Reassignments

2

Medicare enrollment records show Kathleen Tucker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
4525 CAMERON VALLEY PKWY, SUITE 2500
Charlotte, NC 28211
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1386653830 (North Carolina)
  • 2,057 clinicians in this Medicare group
Surgical Oncology
4525 CAMERON VALLEY PKWY, STE 3500
Charlotte, NC 28211
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 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 2

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.
68 services17 patients
Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
55 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Dietitian, Registered
4525 CAMERON VALLEY PKWY, STE 4100
CHARLOTTE, NC 28211
Nurse Practitioner
4525 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Internal Medicine (Hematology)
4525 CAMERON VALLEY PKWY, STE 3500
CHARLOTTE, NC 28211
Nurse Practitioner (Family)
4525 CAMERON VALLEY PKWY, STE 4100D
CHARLOTTE, NC 28211
Pharmacist (Oncology)
4525 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Physician Assistant
4525 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Internal Medicine
4525 CAMERON VALLEY PKWY
CHARLOTTE, NC 28211
Internal Medicine (Rheumatology)
4525 CAMERON VALLEY PKWY, SUITE 4100
CHARLOTTE, NC 28211

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 Kathleen Tucker's NPI number?

The NPI number for Kathleen Tucker is 1992213193. It was assigned to this individual provider in the NPPES registry on January 22, 2018.

Where is Kathleen Tucker located?

Kathleen Tucker practices at 4525 Cameron Valley Pkwy Ste 4100, Charlotte, NC 28211. The listed phone number is (704) 302-9462.

What is Kathleen Tucker's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Kathleen Tucker enrolled in Medicare?

Yes. Kathleen 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 organizations bill Medicare for Kathleen Tucker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Tucker reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network Inc (Charlotte, NC) and The Charlotte-Mecklenburg Hospital Authority (Charlotte, NC). Each 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 Kathleen Tucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Tucker accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Kathleen 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 Kathleen Tucker was last updated on July 15, 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.