Dawn Renee Tucker, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9306602F Issued in FL

Practice address

325 Clyde Morris Blvd Ste 400
Ormond Beach, FL 32174

Phone

(386) 671-0600

Fax

(386) 677-9710

NPI assigned

Mar 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians

Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

PRC Associates LLCGroup PAC ID 5890698708, 15 clinicians

Advanced Pain Management IncGroup PAC ID 0547350068, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
• Adventhealth Deland Hospital, Deland, FL, CCN 100045

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Advanced Pain Management Inc

  dba Florida Pain Medicine

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Ormond Beach, FL
  • NPI 1740385350
  Medicare reassignment Care Compare group NPD
• PRC Associates LLC

  • Pain Medicine Physician
  • Daytona Beach, FL
  • NPI 1558310128
  Medicare reassignment Care Compare group
• Advanced Pain Management Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brandon, FL
  • NPI 1487439840
  NPD

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

• Memorial Health Systems Inc

  dba AdventHealth Daytona Beach

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1063426823
  Care Compare affiliation
• Memorial Health Systems Inc

  dba AdventHealth Daytona Beach

  • Clinical Medical Laboratory
  • Daytona Beach, FL
  • NPI 1104696178

  Hospital

  Care Compare affiliation
• Memorial Hospital-West Volusia Inc

  dba AdventHealth DeLand

  • General Acute Care Hospital
  • Deland, FL
  • NPI 1649367269
  Care Compare affiliation

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1336531243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD STE 400",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748185",
            "telephone_number": "386-671-0600",
            "fax_number": "386-677-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD STE 400",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-671-0600",
            "fax_number": "386-677-9710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Dunlawton Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321274252",
            "country_code": "US",
            "telephone_number": "386-756-2223",
            "fax_number": "386-756-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Pine Cone Dr Ste 104A",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321378683",
            "country_code": "US",
            "telephone_number": "386-671-0600",
            "fax_number": "386-677-9710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "DAWN",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9306602",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9306602F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017198900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P01655870",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H6569",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trident Sports Medicine and Rehabilitation Inc.
• Brian Edward Trieb, D.C.
• Cara Triz
• Lynn-Della Hope Trotter, ARNP
• Trusted Comfort Care Group LLC (Trusted Comfort Care)
• Mya Elizabeth Tucker
• John Boyd Turner, MD
• Ultimate Thinking Psychological Consultants, PA
• Umbrella Speech Services
• Nelly Roberta Unger

• Family Nurse Practitioner in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.