Individual provider Active NPI

Chad Tucker, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1760090732
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R247698 Issued in MD
Practice address
22 S Greene St
Baltimore, MD 21201-1544
Phone
(410) 328-9595
NPI assigned
Jul 16, 2020
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 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 R247698 MD Primary

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201-1544

Mailing address

2700 Quarry Lake Dr Ste 300
Baltimore, MD 21209-3746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20200918001888 MD Practitioner - Nurse Practitioner 7113345323 Reassigns benefits to 4 organizations
I20240812001250 DC Practitioner - Nurse Practitioner 7113345323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MNR Industries, LLCGroup PAC ID 7416908843, 142 clinicians

Practice addresses (Care Compare)

1011 Baltimore Blvd
Westminster, MD 21157-7055
Phone (410) 848-3990

10490 Owings Mills Blvd
Owings Mills, MD 21117-7814
Phone (410) 363-7281

1307 Merritt Blvd
Dundalk, MD 21222-2109
Phone (410) 288-2121

1311 Londontown Blvd
Suite 130
Eldersburg, MD 21784-6556
Phone (410) 549-7222

1354 Eastern Blvd
Expresscare of Essex
Essex, MD 21221-3423
Phone (443) 231-5203

1470 Martin Blvd
Middle River, MD 21220-4105
Phone (443) 231-5203

1505 E Churchville Rd
Bel Air, MD 21014-4742

2327 Hanover Pike
Hampstead, MD 21074-1150
Phone (410) 848-3990

2401 E Belvedere Ave
Baltimore, MD 21215-5216

2570 -72 Quarry Lake Dr
Expresscare of Quarry Lake
Baltimore, MD 21209-3759
Phone (443) 842-6238

4009 N Point Blvd
105 Expresscare of North Point
Dundalk, MD 21222-3619
Phone (410) 477-1039

7700 Belair Rd
Baltimore, MD 21236-4004
Phone (410) 665-0670

7701 Harford Rd
Parkville, MD 21234-6403
Phone (410) 569-0069

8000 Loch Raven Blvd
Loch Raven, MD 21286-8337
Phone (410) 616-9027

9832 York Rd
Suite F
Cockeysville, MD 21030-4936
Phone (410) 628-1861

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC Current Accepting new patients
University of Maryland Emergency Medicine Associates, PA CurrentSince Aug 24, 2020 Accepting new patients
MNR Industries, LLC CurrentSince Aug 1, 2024 Accepting new patients
MNR Industries LLC CurrentSince Aug 1, 2024 Accepting new patients
MNR Industries, LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Aug 1, 2024 Accepting new patients
University of Maryland Midtown Health Inc CurrentSince Sep 28, 2020 Accepting new patients
Shawn Dhillon, M.D., P.C. CurrentSince Jun 20, 2022 Accepting new patients
Shawn Dhillon, M.D., P.C. CurrentSince Jun 20, 2022 Accepting new patients
Occupational and Behavioral Therapies Past Accepting new patients

Locations

105 Penn St
Baltimore, MD 21201
Phone (410) 328-2387

2 Hamill Rd
Ste 272
Baltimore, MD 21210
Phone (410) 261-8532

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

3333 N Calvert St
Ste 555
Baltimore, MD 21218
Phone (410) 261-8800

821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

Interoperability endpoints

  • Direct secure messaging: chad.tucker@3462.securemail.prognocis.com

Organizations & group practices 11

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1760090732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 QUARRY LAKE DR STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "CHAD",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-16",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R247698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.