Active NPI
Patricia Lynn Tucker, PA-C
- Medical Physician Assistant
- Jupiter, FL
National Provider Identifier
1386899250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 9101344
- Practice address
- 4600 Military TRL Ste 115
Jupiter, FL 33458-4811 - Phone
- (561) 776-5252
- Fax
- (561) 776-5255
- NPI assigned
- Nov 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 9101344 | FL | Primary |
Addresses
Primary practice location
4600 Military TRL Ste 115
Jupiter, FL 33458-4811
Mailing address
4600 Military TRL Ste 115
Jupiter, FL 33458-4811
Phone (561) 776-5252
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9101344 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jupiter Familyhealthcare,PA | Current | Accepting new patients | |
| New Age Dermatology Inc | Past | Accepting new patients | |
| Mark E Pomper MD PA | Past | Accepting new patients |
Locations
4600 Military Trl
Ste 115
Jupiter, FL 33458
Phone (561) 775-5252
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BDDIBA
Organizations & group practices 4
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.
-
- General Practice Physician
- Jacksonville, FL
- NPI 1932136314
-
- Family Medicine Physician
- Jupiter, FL
- NPI 1366503203
-
- Radiation Oncology Physician
- Homestead, FL
- NPI 1184696858
-
- Dermatology Physician
- West Palm Beach, FL
- NPI 1962586586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1386899250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MILITARY TRL STE 115",
"city": "JUPITER",
"state": "FL",
"postal_code": "334584811",
"telephone_number": "561-776-5252",
"fax_number": "561-776-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 MILITARY TRL STE 115",
"city": "JUPITER",
"state": "FL",
"postal_code": "334584811",
"telephone_number": "561-776-5252",
"fax_number": "561-776-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "PATRICIA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-19",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA 9101344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.