Haley Amanda Tucker

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

117880 Issued in WV

Practice address

10000 Coombs Farm Rd Ste 106
Morgantown, WV 26508-1157

Phone

(304) 212-5663

Fax

(304) 936-0101

NPI assigned

Jan 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: haley.tucker.1@30179.direct.athenahealth.com

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.

• Maezer, LLC

  • Family Nurse Practitioner
  • Morgantown, WV
  • NPI 1972211712
  Medicare reassignment NPD
• Monongalia County Board of Health

  • Case Management Agency
  • Morgantown, WV
  • NPI 1780677203
  NPD (past)

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1780445296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 VAN VOORHIS RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 COOMBS FARM RD STE 106",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081157",
            "telephone_number": "304-212-5663",
            "fax_number": "304-936-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "453 Van Voorhis Rd",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053408",
            "country_code": "US",
            "telephone_number": "304-598-5119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "HALEY",
        "middle_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "117880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972211712",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Trudell
• Mariah Truley
• Dianne Welch Trumbull, M.D.
• Florette Kapinga Tshiaba, MD
• Susan Tubens, PA-C
• Tina Marie Tucker, LPC
• Roy Harvey Tunick, ED.D.
• Rachel M Turak, DDS
• Kobe Turlington
• Sherlene Izella Turnage

• Family Nurse Practitioner in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.
• 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.