Individual provider Active NPI

Jennifer J Tucker, MD

  • Orthopaedic Hand Surgery Physician
  • Boynton Beach, FL
National Provider Identifier
1922149228
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
ME147283 Issued in FL
Practice address
6056 Boynton Beach Blvd Ste 215
Boynton Beach, FL 33437-3500
Phone
(561) 733-5888
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 062649 GA
Orthopaedic Hand Surgery Physician 207XS0106X 062649 GA
Orthopaedic Hand Surgery Physician 207XS0106X ME147283 FL Primary

Addresses

Primary practice location

6056 Boynton Beach Blvd Ste 215
Boynton Beach, FL 33437-3500

Mailing address

6056 Boynton Beach Blvd Ste 215
Boynton Beach, FL 33437-3500
Phone (561) 733-5888

Other identifiers 4

IdentifierTypeStateIssuer
984504931AMedicaidGA
984504931CMedicaidGA
984504931BMedicaidGA
984504931DMedicaidGA

Other names 1

  • Dr. Jennifer T Ammon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110513000122 GA Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 2567525819 Reassigns benefits to 1 organization
I20201103000431 FL Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 2567525819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Orthopedics of the Palm Beaches P.a.Group PAC ID 0244232767, 10 clinicians

Practice addresses (Care Compare)

6056 Boynton Beach Blvd
Suite 215
Boynton Beach, FL 33437-3500
Phone (561) 733-5888

Hospital & facility affiliations

  • Hospital Without Walls Home health agency, Boynton Beach, FL, CCN 108069
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Orthopedics of the Palm Beaches P.a. Orthopaedic Surgery CurrentSince Nov 1, 2020 Accepting new patients
The Southeast Permanente Medical Group CurrentSince Oct 13, 2014 Accepting new patients
Resurgens, LLC Orthopaedic Surgery PastSince Mar 1, 2022 Accepting new patients

Locations

6056 Boynton Beach Blvd
Ste 215
Boynton Beach, FL 33437
Phone (561) 733-5888

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

20 Glenlake Pkwy
Sandy Springs, GA 30328
Phone (770) 677-6247

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1922149228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6056 BOYNTON BEACH BLVD STE 215",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373500",
            "telephone_number": "561-733-5888",
            "fax_number": "770-422-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6056 BOYNTON BEACH BLVD STE 215",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373500",
            "telephone_number": "561-733-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "062649",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "GA",
            "license": "062649",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": "ME147283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "984504931A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "984504931C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "984504931B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "984504931D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "AMMON",
            "middle_name": "T",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.