CECIL TUCKER – Psychiatry Physician, NPI 1619669967

CECIL TUCKER is a healthcare provider. based in Frederick, Maryland. specializing in NURSE PRACTITIONER. They hold a License No. R163975 (MD). The NPI Number for CECIL TUCKER is 1619669967

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
CECIL TUCKER
NPI
1619669967
Phone
(301) 442-7095
Address
9729 ROYAL CREST CIR
Enumeration Date
24 May 2023
Last Update Date
24 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4435888753
Graduation Year
2023 (3 years ago)
PAC ID
2769841121
Group Practice PAC ID
1951660224
Professional Enrollment ID
I20230703000090
Address ID
MD210902953LI939XXRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

Provider Addresses for CECIL TUCKER

  • 9729 ROYAL CREST CIR

    FREDERICK, MD 217047801

    Phone: (301) 442-7095

    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 9 Open Payments records for all available years, with a total value of $387.

Total Amount is formed as General ($387) + Research ($0) + Ownership ($0) = $387.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($336).

Total Amount

$387

General + Research + Ownership

Payments

9

Total payment records

General Amount

$387

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2023-07-03

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
I20230703000090INurse PractitionerMDTBD

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 21704)

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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: 1951660224View full group profile
NameSpecialtyState
-MD
Clinical Social WorkerMD
Clinical Social WorkerMD
Clinical Social WorkerMD
-MD
Clinical Social WorkerPA
-MD
Clinical Social WorkerMD
Clinical Social WorkerMD
Nurse PractitionerMD

Reviews

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Frequently asked questions

What federal number belongs to CECIL TUCKER?
The federal identifier for CECIL TUCKER is NPI 1619669967.
Is CECIL TUCKER's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does CECIL TUCKER work in?
You can think of CECIL TUCKER as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does CECIL TUCKER practice in Maryland?
You will see Frederick, Maryland on file for CECIL TUCKER alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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