Carolyn Jean Lenz-Tucker, WHNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

130847 Issued in MO

Practice address

7379 Pearl Rd
Middleburg Heights, OH 44130

Phone

(440) 732-2173

Fax

(440) 491-3404

NPI assigned

Jun 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Carolyn Jean Tucker Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO, OH2 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

Specialty

Nurse Practitioner

Education

University of Missouri, Columbia School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Veranova HealthGroup PAC ID 7315317211, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carolyn.lenz-tucker.1@33360.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.

• Veranova Health

  • Obstetrics & Gynecology Physician
  • Middleburg Heights, OH
  • NPI 1639897846
  Medicare reassignment Care Compare group NPD
• Pike County Memorial Hospital

  • Rural Health Clinic/Center
  • Bowling Green, MO
  • NPI 1124030424
  Medicare reassignment NPD
• Our Lady Queen of Peace Center, Inc.

  • Family Medicine Physician
  • Jefferson City, MO
  • NPI 1962459768
  NPD
• Pike County Memorial Hospital

  • Rural Health Clinic/Center
  • Bowling Green, MO
  • NPI 1134633456
  NPD
• Pike County Memorial Hospital

  • Family Medicine Physician
  • Bowling Green, MO
  • NPI 1962933143
  NPD

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1821038993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7379 PEARL RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-732-2173",
            "fax_number": "440-491-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7379 PEARL RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-732-2173",
            "fax_number": "440-491-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENZ-TUCKER",
        "first_name": "CAROLYN",
        "middle_name": "JEAN",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "130847",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "130847",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "130847",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "130847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF N.P.",
            "identifier": "9801013",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCC CERTIFICATION",
            "identifier": "TUC104284044",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WOMEN'S HEALTH NP",
            "identifier": "130847",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clenztucker@pike.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Pike County Memorial Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1420 S Business 61 Ste Def",
            "city": "Bowling Green",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633345230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "TUCKER",
            "middle_name": "JEAN",
            "credential": "WHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• CHI-Hoon Lee, MD
• Sandra Lehr, BCBA
• Tina L Lekas, M.A.CCC-SLP
• Meghan Kathleen Lembright, DDS
• Megan Lenkov, PHARM.D.
• Avvie Patricia Lett, BEHAVIOR TECHNICIAN
• Deborah Levindofske
• Amber Nicole Lewandowski
• Caroline S Lewis, COTA/L
• LHCG Ccvii, LLC

• Nurse Practitioner in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.