NPIMap

Individual provider Active NPI

Marla Lynn Tucker, NP

  • Family Nurse Practitioner
  • Belton, MO
National Provider Identifier
1881928703
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2010000564 Issued in MO
Practice address
17067 S Outer Rd Ste 100
Belton, MO 64012-2100
Phone
(816) 331-4000
NPI assigned
Sep 24, 2009
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 113908 NE
Family Nurse Practitioner 363LF0000X 75019 KS
Family Nurse Practitioner 363LF0000X 2010000564 MO Primary

Addresses

Primary practice location

17067 S Outer Rd Ste 100
Belton, MO 64012-2100

Mailing address

5409 N Wyoming St
Kansas City, MO 64118-3102
Phone (816) 808-8338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, NE, UT4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20100910000419 MO Practitioner - Nurse Practitioner 2466577721 Reassigns benefits to 2 organizations
I20100910000546 KS Practitioner - Nurse Practitioner 2466577721 Reassigns benefits to 1 organization
I20211112001348 NE Practitioner - Nurse Practitioner 2466577721 Reassigns benefits to 1 organization
I20230322000490 UT Practitioner - Nurse Practitioner 2466577721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belton Family Practice Clinic LLCGroup PAC ID 5193717601, 7 clinicians

Practice addresses (Care Compare)

17067 S Outer Rd
Suite 100
Belton, MO 64012-2100
Phone (816) 331-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.13 of 100Reported as group
Quality
93.44
Promoting interoperability
100
Improvement activities
40
Cost
73.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75019KSMDFamily Nurse Practitioner
2010000564MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Swope Health Services CurrentSince Nov 6, 2012 Accepting new patients
Belton Family Practice Clinic LLC CurrentSince Jul 22, 2024 Accepting new patients
Swope Health Services CurrentSince Nov 6, 2012 Accepting new patients
Swope Health Services CurrentSince Oct 30, 2023 Accepting new patients
Swope Health Services PastSince Aug 1, 2024 Accepting new patients
Carespot Professional Services LLC PastSince Nov 3, 2015 Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

21 N 12th St
Ste 400
Kansas City, KS 66102
Phone (816) 599-5111

17067 S US Highway 71
Ste 100
Belton, MO 64012
Phone (816) 331-4000

11320 E Truman Rd
Independence, MO 64050
Phone (816) 599-5201

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

Interoperability endpoints

  • Direct secure messaging: marla.tucker@hca2.eclinicaldirectplus.com

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1881928703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 N WYOMING ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641183102",
            "telephone_number": "816-808-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17067 S OUTER RD STE 100",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122100",
            "telephone_number": "816-331-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "MARLA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113908",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "75019",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2010000564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, MO

Sources for this page

Verify at the official NPI Registry.