Individual provider Active NPI

Melissa Sullivan Tucker, NP-C

  • Family Nurse Practitioner
  • Lynchburg, VA
National Provider Identifier
1932497138
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024169502 Issued in VA
Practice address
2811 Linkhorne Dr
Suite a
Lynchburg, VA 24503-3353
Phone
(434) 384-1581
Fax
(434) 384-5609
NPI assigned
Jul 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024169502 VA Primary

Addresses

Primary practice location

2811 Linkhorne Dr
Suite a
Lynchburg, VA 24503-3353

Mailing address

2811 Linkhorne Dr
Suite a
Lynchburg, VA 24503-3353
Phone (434) 384-1581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130719000290 VA Practitioner - Nurse Practitioner 4587809801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Virginia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Practice addresses (Care Compare)

1280 Main St a
Altavista, VA 24517-1465
Phone (434) 309-1165

Hospital & facility affiliations

  • Centra Home Health Home health agency, Lynchburg, VA, CCN 497278
  • Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Medical Group, LLC CurrentSince Feb 18, 2017 Accepting new patients
Light Medical, Inc. Past Accepting new patients

Locations

1280A Main St
Altavista, VA 24517
Phone (434) 309-1165

1280 Main St
Altavista, VA 24517

1280 Main St
#A
Altavista, VA 24517
Phone (434) 309-1165

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

2811 Linkhorne Dr
Ste A
Lynchburg, VA 24503
Phone (434) 384-1581

1937 Thomson Dr
Lynchburg, VA 24501
Phone (434) 200-6965

Organizations & group practices 2

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 8

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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1932497138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 LINKHORNE DR",
            "address_2": "SUITE A",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245033353",
            "telephone_number": "434-384-1581",
            "fax_number": "434-384-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 LINKHORNE DR",
            "address_2": "SUITE A",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245033353",
            "telephone_number": "434-384-1581",
            "fax_number": "434-384-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "MELISSA",
        "middle_name": "SULLIVAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.