KATIE H TUCK (CRNP) – Nurse Practitioner, NPI 1043402555

KATIE H TUCK (CRNP) is a healthcare provider. based in Vestavia, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1072378 (AL). The NPI Number for KATIE H TUCK (CRNP) is 1043402555

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
KATIE H TUCK (CRNP)
NPI
1043402555
Phone
(205) 978-3336
Address
2470 ROCKY RIDGE RD
Enumeration Date
17 August 2007
Last Update Date
8 September 2014

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
5890889992
Group Practice PAC ID
2769481399
Professional Enrollment ID
I20070920000266
Address ID
AL352432833VE2470XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for KATIE H TUCK (CRNP)

  • 2470, Rocky Ridge Road, Ivy Glenn, Vestavia Hills, Jefferson County, Alabama, 35243, United States

    VESTAVIA, AL 352432833

    Phone: (205) 978-3336

    Fax: (205) 503-4915

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 235 Open Payments records for all available years, with a total value of $4,726.

Total Amount is formed as General ($4,726) + Research ($0) + Ownership ($0) = $4,726.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($876).

Total Amount

$4,726

General + Research + Ownership

Payments

235

Total payment records

General Amount

$4,726

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070920000266INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths749156$0
17000Destruction of precancer skin growth, 1 growth266207$0
99213Established patient office or other outpatient visit, 20-29 minutes251217$0
17110Destruction of skin growth, 1-14 growths201168$0
11102Biopsy of related skin growth, first growth186169$0
View full utilization report →

Insurance plans in this area (ZIP 35243)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769481399View full group profile
NameSpecialtyState
Micrographic Dermatologic Surgery (Mds), DermatologyAL
D E R M A T O L O G YAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What NPI should I save for KATIE H TUCK (CRNP)?
Save NPI 1043402555 if you need a stable reference for KATIE H TUCK (CRNP).
Does this profile mean KATIE H TUCK (CRNP) is currently active?
Yes — KATIE H TUCK (CRNP) appears active in the national provider directory.
Can you summarize KATIE H TUCK (CRNP)'s specialty in plain language?
Clinically, the directory lists KATIE H TUCK (CRNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KATIE H TUCK (CRNP) practice in Alabama?
You will see Vestavia, Alabama on file for KATIE H TUCK (CRNP) alongside any extra practice locations.
What if Vestavia, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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