STEVEN TUCKER (AGNP-C) – Adult Health Nurse Practitioner, NPI 1487530333

STEVEN TUCKER (AGNP-C) is a healthcare provider. based in Wichita, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-C. They hold a License No. AG07250147 (KS). The NPI Number for STEVEN TUCKER (AGNP-C) is 1487530333

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
STEVEN TUCKER (AGNP-C)
NPI
1487530333
Phone
(817) 980-4226
Address
3204 N PARKRIDGE ST
Enumeration Date
14 August 2025
Last Update Date
14 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
31678869631150
Graduation Year
2025 (1 year ago)
PAC ID
0648759191
Group Practice PAC ID
4688568751
Professional Enrollment ID
I20260205002037
Address ID
KS670373705DE1101XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for STEVEN TUCKER (AGNP-C)

  • 3204 N PARKRIDGE ST

    WICHITA, KS 672057515

    Phone: (817) 980-4226

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-02-05

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
I20260205002037INurse PractitionerKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67205)

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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: 4688568751View full group profile

Reviews

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Frequently asked questions

What identifier follows STEVEN TUCKER (AGNP-C) across health systems?
The NPI 1487530333 uniquely identifies STEVEN TUCKER (AGNP-C) in U.S. healthcare data.
Should I treat STEVEN TUCKER (AGNP-C) as an active provider?
Patients and plans typically see STEVEN TUCKER (AGNP-C) as active in the national extract.
What type of care does STEVEN TUCKER (AGNP-C) provide?
STEVEN TUCKER (AGNP-C)'s profile centers on Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to STEVEN TUCKER (AGNP-C)?
STEVEN TUCKER (AGNP-C) shows a connection to Wichita, Kansas in registry-derived data.
Can I export STEVEN TUCKER (AGNP-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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