Individual provider Active NPI

Carey M Tucker, PA

  • Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1922295831
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3707 Issued in AZ
Practice address
8201 Golf Course Rd NW Ste A3
Albuquerque, NM 87120-5803
Phone
(505) 800-7070
NPI assigned
Sep 25, 2007
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3707 AZ Primary

Addresses

Primary practice location

8201 Golf Course Rd NW Ste A3
Albuquerque, NM 87120-5803

Mailing address

2145 E Baseline Rd
Tempe, AZ 85283-1515
Phone (888) 286-3606

Other practice location 1

2145 E Baseline Rd
Tempe, AZ 85283-1515
Phone (888) 286-3606

Other practice location 2

4140A Laramie St
Cheyenne, WY 82001-1969
Phone (888) 286-3606

Other identifiers 1

IdentifierTypeStateIssuer
487814MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WY, NM3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100219000467 AZ Practitioner - Physician Assistant 9436293099 Reassigns benefits to 2 organizations
I20240103003874 WY Practitioner - Physician Assistant 9436293099 Reassigns benefits to 1 organization
I20240502003664 NM Practitioner - Physician Assistant 9436293099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

10240 N 43Rd Ave
Suite 3
Glendale, AZ 85302-2044
Phone (623) 742-2060

13840 W Camelback Rd
Suite 10
Litchfield Park, AZ 85340-3084
Phone (602) 853-4057

1394 W 16TH St
Yuma, AZ 85364-4430
Phone (928) 539-0055

14800 W Mountain View Blvd
Suite 190
Surprise, AZ 85374-2700
Phone (623) 385-7299

18773 S Nogales Hwy
Suite 125
Green Valley, AZ 85614-0403
Phone (520) 771-0316

20470 N Lake Pleasant Rd
Suite 102
Peoria, AZ 85382-9708
Phone (623) 825-4600

2122 N Scottsdale Rd
Scottsdale, AZ 85257-2123
Phone (480) 889-3570

535 E McKellips Rd
Suite 101
Mesa, AZ 85203-2525
Phone (480) 844-7400

5369 S Calle Santa Cruz
Suite 145
Tucson, AZ 85706-3963
Phone (520) 573-7500

7650 S 59TH Ave
Suite A105
Laveen, AZ 85339-3071
Phone (602) 476-8888

8101 N 19TH Ave
Suite a
Phoenix, AZ 85021-5161
Phone (602) 845-4505

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

9745 W Bell Rd
Suite 105
Sun City, AZ 85351-1371
Phone (623) 742-2999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lovelace Urgent Care, LLC CurrentSince Apr 1, 2025 Accepting new patients
Medi Horizons Inc Past Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

8201 Golf Course Rd NW
Ste A3
Albuquerque, NM 87120
Phone (505) 800-7070

Interoperability endpoints

  • Direct secure messaging: carey.tuckerpac.p1@direct.nextcare.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1922295831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 E BASELINE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831515",
            "telephone_number": "888-286-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 GOLF COURSE RD NW STE A3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205803",
            "telephone_number": "505-800-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2145 E Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852831515",
            "country_code": "US",
            "telephone_number": "888-286-3606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4140A Laramie St",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820011969",
            "country_code": "US",
            "telephone_number": "888-286-3606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "CAREY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "487814",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.