Matthew Paul Tucker, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

95001019 Issued in CA

Practice address

4867 W Sunset Blvd
Los Angeles, CA 90027-5969

Phone

(913) 461-9677

NPI assigned

Dec 27, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Capital Anesthesia Solutions of Missouri LLCGroup PAC ID 1456764885, 75 clinicians

Anesthesia Associates of Kansas City PAGroup PAC ID 1951206168, 214 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
• Centerpoint Medical Center Hospital, Independence, MO, CCN 260095
• Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Anesthesia Associates of Kansas City PA

  • Anesthesiology Physician
  • Overland Park, KS
  • NPI 1174504732

  MO

  Medicare reassignment Care Compare group NPD
• Capital Anesthesia Solutions of Missouri, LLC

  • Anesthesiology Physician
  • Rombauer, MO
  • NPI 1770185472
  Medicare reassignment Care Compare group NPD
• Saint Luke'S Physician Group Inc

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1093263717

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Digestive Health Specialists, LLC

  • Gastroenterology Physician
  • Independence, MO
  • NPI 1801286844
  Medicare reassignment NPD
• Dynamos Anesthesia Services LLC

  • Anesthesiology Physician
  • Leavenworth, KS
  • NPI 1639719180

  MO, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• St Lukes East Anesthesia Services,P.C.

  • Anesthesiology Physician
  • Lees Summit, MO
  • NPI 1649283177
  Medicare reassignment NPD
• Northstar Anesthesia of Kansas, LLC

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1073942074

  KS

  Medicare reassignment
• Curators of the University of Missouri

  • Durable Medical Equipment & Medical Supplies
  • Columbia, MO
  • NPI 1356963201
  NPD
• The Curators of the University of Missouri

  • Multi-Specialty Clinic/Center
  • Columbia, MO
  • NPI 1235126921
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerpoint Medical Center of Independence, LLC

  • General Acute Care Hospital
  • Independence, MO
  • NPI 1942247044
  Care Compare affiliation
• Midwest Division - LSH, LLC

  • General Acute Care Hospital
  • Lees Summit, MO
  • NPI 1225085871
  Care Compare affiliation
• Saint Lukes East Hospital

  • General Acute Care Hospital
  • Lees Summit, MO
  • NPI 1053353490
  Care Compare affiliation

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1285106450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 CABRILLO VILLAS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900425015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4867 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275969",
            "telephone_number": "913-461-9677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 Ballentine St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662141900",
            "country_code": "US",
            "telephone_number": "913-363-2663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1318 E 104th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641314504",
            "country_code": "US",
            "telephone_number": "816-256-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "MATTHEW",
        "middle_name": "PAUL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-27",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2019043388",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeritt Ross Tucker, PHD
• Judy C Tucker, OD
• Landon Alfred Tucker
• Lynnette Tucker
• Marcus I Tucker
• Naomi Tucker, LMFT
• Sarah Tucker, M.S.W
• Taeko Tucker
• Tamara Tucker
• Walter Tucker IV

• Certified Registered Nurse Anesthetist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.