Individual provider Active NPI

Racquel Tucker, FNP

  • Family Nurse Practitioner
  • Wellington, FL
National Provider Identifier
1356807689
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9386352 Issued in FL
Practice address
10330 Nuvista Ave
Wellington, FL 33414-9365
Phone
(872) 231-3162
NPI assigned
Feb 12, 2019
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9386352 FL Primary

Addresses

Primary practice location

10330 Nuvista Ave
Wellington, FL 33414-9365

Mailing address

PO Box 734951
Chicago, IL 60673-4951
Phone (702) 899-0595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200306000789 FL Practitioner - Nurse Practitioner 6002244993 Reassigns benefits to 2 organizations
I20260521003663 NY Practitioner - Nurse Practitioner 6002244993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel S Berman MD Infectious Diseases PCGroup PAC ID 2567723562, 17 clinicians

Practice addresses (Care Compare)

491 State Route 208
Suite 211
Monroe, NY 10950-1656
Phone (718) 633-7828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9386352FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bienestar Vitality Healthcare Services Current Accepting new patients
Post Acute Care Leaders-Florida LLC CurrentSince Feb 26, 2021 Accepting new patients
Doctors House Calls of Florida, LLC CurrentSince Feb 14, 2020 Accepting new patients

Locations

1239 SE Indian St
Ste 102
Stuart, FL 34997
Phone (561) 900-2497

925 North Point Pkwy
Ste 425
Alpharetta, GA 30005
Phone (678) 593-3332

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24095/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1356807689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734951",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606734951",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 NUVISTA AVE",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149365",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "RACQUEL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9386352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.