Jacquelyn Nmi Tucker, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

229661 Issued in TX

Practice address

500 W Plummer St
Eastland, TX 76448-2629

Phone

(254) 629-3393

Fax

(254) 629-2851

NPI assigned

Dec 26, 2006

Last updated

Feb 17, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert Deluca DO PAGroup PAC ID 9739170382, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eastland Memorial Hospital Hospital, Eastland, TX, CCN 671303
• Eastland Memorial Hospital Hospital, Eastland, TX, CCN 450411
• Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Eastland Memorial Hospital District

  dba EMH Regional Healthcare Clinic

  • Rural Health Clinic/Center
  • Eastland, TX
  • NPI 1023631306

  Corporate Director

  CMS ownership

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

• Robert Deluca, D.O,, P.a.

  • Family Medicine Physician
  • Eastland, TX
  • NPI 1053570952
  Medicare reassignment Care Compare group NPD

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

• Eastland Memorial Hospital District

  dba Eastland Memorial Hospital

  • Critical Access Hospital
  • Eastland, TX
  • NPI 1437851680
  Care Compare affiliation
• Hendrick Medical Center

  • General Acute Care Hospital
  • Abilene, TX
  • NPI 1528064649
  Care Compare affiliation

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1336204833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E PERSHING ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764483547",
            "telephone_number": "254-629-1956",
            "fax_number": "254-629-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W PLUMMER ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482629",
            "telephone_number": "254-629-3393",
            "fax_number": "254-629-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JACQUELYN",
        "middle_name": "NMI",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "229661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Berenda Stewart, NP
• Kimberly Diane Stieber, PT, DPT
• Samantha Ranae Thomas, APRN-CNP
• Christopher Tidroski, D.O.
• Bich Thuy Tran
• Valley View Healthcare
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0561)
• William Todd Walker, DDS
• Mary Lee Walley, SLP
• Shanna Markell Walls, APRN-CNP

• Family Nurse Practitioner in Eastland, TX
• Providers in Eastland, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.