Individual provider Active NPI

Delores Ann Tuck, CRNA

  • Certified Registered Nurse Anesthetist
  • Raleigh, NC
National Provider Identifier
1124079504
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
102920 Issued in NC
Practice address
6300 Creedmoor Rd
Suite 170
Raleigh, NC 27612-6730
Phone
(919) 906-4721
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 102920 NC Primary

Addresses

Primary practice location

6300 Creedmoor Rd
Suite 170
Raleigh, NC 27612-6730

Mailing address

6300 Creedmoor Rd
Suite 170
Raleigh, NC 27612-6730
Phone (919) 906-4721

Other identifiers 1

IdentifierTypeStateIssuer
8050545MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050309000949 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022062348 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.14 of 100Reported as group
Quality
83.98
Improvement activities
40
Cost
76.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
2078NCMDProfessional Counselor
19808TNMDPediatrics Physician
4382CTMDOccupational Therapist
102920NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarmc Anesthesia Specialist LLC CurrentSince May 17, 2021 Accepting new patients
Anesthesia Care Group PC CurrentSince Sep 14, 2019 Accepting new patients
Nash Hospitals Inc CurrentSince Oct 30, 2017 Accepting new patients
Gate City Anesthesia, Inc CurrentSince Jun 27, 2022 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Mar 1, 2020 Accepting new patients
Pathology Associates of Greenville PA Current Accepting new patients
Winchester Anesthesiologists Inc CurrentSince Nov 18, 2023 Accepting new patients
Prisma Health-Upstate Current Accepting new patients
Surgery Center Anesthesia Providers PC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
Prisma Health-Upstate CurrentSince Jul 17, 2017 Accepting new patients
Sampson Regional Medical Services LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 24, 2018 Accepting new patients
Nash Hospitals Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 30, 2017 Accepting new patients
Sampson Regional Medical Services, LLC Current Accepting new patients
Prisma Health-Upstate CurrentSince Jul 17, 2017 Accepting new patients
Triangle Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

320 Lillington Ave
Ste 101
Charlotte, NC 28204
Phone (704) 332-1574

607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

705 Green Valley Rd
Greensboro, NC 27408
Phone (336) 272-0012

21A Oak Branch Dr
Greensboro, NC 27407
Phone (336) 478-2664

5200 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 261-4187

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

1919 S 16th St
Wilmington, NC 28401
Phone (910) 763-9334

88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

175 Patewood Dr
Greenville, SC 29615
Phone (864) 797-1000

830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

874 Fox Dr
Winchester, VA 22603
Phone (540) 662-0990

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1124079504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 CREEDMOOR RD",
            "address_2": "SUITE 170",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126730",
            "telephone_number": "919-906-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 CREEDMOOR RD",
            "address_2": "SUITE 170",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126730",
            "telephone_number": "919-906-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCK",
        "first_name": "DELORES",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "102920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8050545",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.