DAWN RENEE TUCKER (APRN) – Family Nurse Practitioner, NPI 1336531243

DAWN RENEE TUCKER (APRN) is a healthcare provider. based in Port orange, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. ARNP9306602 (FL). The NPI Number for DAWN RENEE TUCKER (APRN) is 1336531243

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DAWN RENEE TUCKER (APRN)
NPI
1336531243
Phone
(386) 756-2223
Address
780 Dunlawton Ave Ste 103
Enumeration Date
2 March 2015
Last Update Date
21 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3866710600
Graduation Year
2015 (11 years ago)
PAC ID
5597054361
Group Practice PAC ID
0547350068
Professional Enrollment ID
I20160518000247
Address ID
FL321748185OR325XXBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:11State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for DAWN RENEE TUCKER (APRN)

  • 780 Dunlawton Ave Ste 103

    Port Orange, FL 321274252

    Phone: (386) 756-2223

    Fax: (386) 756-2511

    Type: Location

  • 9 Pine Cone Dr Ste 104A

    Palm Coast, FL 321378683

    Phone: (386) 671-0600

    Fax: (386) 677-9710

    Type: Location

  • 325 CLYDE MORRIS BLVD STE 400

    ORMOND BEACH, FL 321748185

    Phone: (386) 671-0600

    Fax: (386) 677-9710

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $3,297.

Total Amount is formed as General ($3,297) + Research ($0) + Ownership ($0) = $3,297.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Nevro Corp. ($1,444).

Total Amount

$3,297

General + Research + Ownership

Payments

60

Total payment records

General Amount

$3,297

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2016-05-18

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
I20160518000247INurse PractitionerFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes440225$0
80307Testing for presence of drug, by chemistry analyzers141135$0
G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms5958$0
99213Established patient office or other outpatient visit, 20-29 minutes5147$0
G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms4845$0
View full utilization report →

Insurance plans in this area (ZIP 32127)

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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: 0547350068View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
Physical Medicine And RehabilitationTN
Interventional Pain Management, Pain ManagementFL
Physical Therapist In Private PracticeFL
-FL
Physical Medicine And RehabilitationFL
Physician AssistantFL

Reviews

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Frequently asked questions

Is there an official ID for DAWN RENEE TUCKER (APRN) in U.S. healthcare records?
The official identifier for DAWN RENEE TUCKER (APRN) is NPI 1336531243.
Is DAWN RENEE TUCKER (APRN) shown as active in public data?
Registry records indicate DAWN RENEE TUCKER (APRN) maintains an active NPI.
What expertise is attributed to DAWN RENEE TUCKER (APRN)?
DAWN RENEE TUCKER (APRN)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with DAWN RENEE TUCKER (APRN)?
Directory geography for DAWN RENEE TUCKER (APRN) centers on Port Orange, Florida.
When was this NPI issued?
Enumeration for DAWN RENEE TUCKER (APRN) is noted as March 2, 2015 where the registry provides it.

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