Individual provider Active NPI

Steven Tucker, AGNP-C

  • Adult Health Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1487530333
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AG07250147 Issued in KS
Practice address
3204 N Parkridge St
Wichita, KS 67205-7515
Phone
(817) 980-4226
NPI assigned
Aug 14, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AG07250147 KS Primary

Addresses

Primary practice location

3204 N Parkridge St
Wichita, KS 67205-7515

Mailing address

3204 N Parkridge St
Wichita, KS 67205-7515
Phone (817) 980-4226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20260205002037 KS Practitioner - Nurse Practitioner 0648759191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medcenters PAGroup PAC ID 4688568751, 16 clinicians

Practice addresses (Care Compare)

1101 N Rock Rd
Derby, KS 67037-3705
Phone 31678869631150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG07250147KSMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medcenters, P.a. CurrentSince Jan 15, 2026 Accepting new patients
Family Medcenters, P.a. CurrentSince Jan 15, 2026 Accepting new patients

Locations

1101 N Rock Rd
Derby, KS 67037
Phone (316) 788-6669

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1487530333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 N PARKRIDGE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672057515",
            "telephone_number": "817-980-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 N PARKRIDGE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672057515",
            "telephone_number": "817-980-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "STEVEN",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "AG07250147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.