Individual provider Active NPI

Christine Tucker, CRNP

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1871046144
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP016436 Issued in PA
Practice address
675 Justice Way Room C0049
Indianapolis, IN 46203
Phone
(877) 465-6650
Fax
(804) 294-2775
NPI assigned
Aug 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nurse Practitioner 363L00000X SP016436 PA Primary
Family Nurse Practitioner 363LF0000X SP016436 PA

Addresses

Primary practice location

675 Justice Way Room C0049
Indianapolis, IN 46203

Mailing address

18 Old Grandview Ave
Dallas, PA 18612-1115
Phone (570) 479-8797

Other practice location 1

18 Old Grandview Ave
Dallas, PA 18612-1115
Phone (570) 479-8798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, VA2 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
I20220307000483 ME Practitioner - Nurse Practitioner 5193012904 Reassigns benefits to 1 organization
I20241216003490 VA Practitioner - Nurse Practitioner 5193012904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Savida Health PCGroup PAC ID 4082809967, 89 clinicians

Practice addresses (Care Compare)

308 Westwood Office Park
Fredericksburg, VA 22401-5108
Phone (833) 356-4080

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Savida Health, PC CurrentSince Oct 10, 2025 Accepting new patients
Savida Health, PC CurrentSince Oct 10, 2025 Accepting new patients
Savida Health, PC Past Accepting new patients
Holon Health, Inc. PastSince Oct 14, 2024 Accepting new patients
Pursuecare Pennsylvania PLLC Family PastSince Aug 28, 2024 Accepting new patients
Ophelia Medical Group Ny, P.C. PastSince Aug 1, 2020 Accepting new patients
Eon Care Services, LLC Nurse Practitioner Past Accepting new patients
Pursuecare Connecticut PC PastSince Aug 12, 2024 Accepting new patients
Pai Medical WV PLLC Family Past Accepting new patients

Locations (25 of 37)

3403 Lancaster Pike
Ste 1
Wilmington, DE 19805

12 Dallaire Ave
Chicopee, MA 01020
Phone (413) 333-5608

77 Hospital Ave
Ste 104
North Adams, MA 01247
Phone (413) 398-5180

184 North St
Ste 202
Pittsfield, MA 01201
Phone (413) 236-9100

50 Union St
West Springfield, MA 01089
Phone (413) 732-0040

299 Lincoln St
Ste 301
Worcester, MA 01605

60 Rogers St
#215
Manchester, NH 03103

406 W Main St
#100
Abingdon, VA 24210
Phone (276) 356-0501

2609 Sheffield Dr
Blacksburg, VA 24060
Phone (304) 647-0677

4003 Steelsburg Hwy
Cedar Bluff, VA 24609
Phone (276) 284-2230

160 Courthouse Ln
Clintwood, VA 24228
Phone (276) 926-4031

767 Madison Rd
Ste 107
Culpeper, VA 22701
Phone (540) 850-0858

100 Vicar Pl
Ste C
Danville, VA 24540

308 Westwood Office Park
Fredericksburg, VA 22401
Phone (833) 352-4080

316 Warren Ave
Ste 1
Front Royal, VA 22630
Phone (540) 456-2469

590 Neff Ave
Ste 2500
Harrisonburg, VA 22801

5554 Redbud Hwy
Honaker, VA 24260
Phone (273) 873-6222

700 E Main St
Luray, VA 22835

1 E Market St
Ste C
Martinsville, VA 24112
Phone (276) 656-2185

13136 Riverside Dr
Oakwood, VA 24631
Phone (276) 859-7080

127 Health Care Dr
Ste RC4
Pennington Gap, VA 24277

601 Old Wagner Rd
Petersburg, VA 23805
Phone (804) 722-3330

1510 N 28th St
Ste 101
Richmond, VA 23223
Phone (804) 371-1670

1325 Jamison Ave SE
Roanoke, VA 24013
Phone (540) 339-7302

40 Lambert St
Ste 212
Staunton, VA 24401

Interoperability endpoints

  • Direct secure messaging: christine.tucker.1@24804.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1871046144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 OLD GRANDVIEW AVE",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121115",
            "telephone_number": "570-479-8797",
            "fax_number": "833-228-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 JUSTICE WAY ROOM C0049",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46203",
            "telephone_number": "877-465-6650",
            "fax_number": "804-294-2775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Old Grandview Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "PA",
            "postal_code": "186121115",
            "country_code": "US",
            "telephone_number": "570-479-8798",
            "fax_number": "833-228-5591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "CHRISTINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP016436",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.