JOEL DENNIS TUCKETT – Certified Registered Nurse Anesthetist, NPI 1487096434

JOEL DENNIS TUCKETT is a healthcare provider. based in Hibbing, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 9317826 (FL). The NPI Number for JOEL DENNIS TUCKETT is 1487096434

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JOEL DENNIS TUCKETT
NPI
1487096434
Phone
(208) 757-3937
Address
1932 10TH AVE E
Enumeration Date
18 July 2013
Last Update Date
10 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3076881000
Graduation Year
2013 (13 years ago)
PAC ID
4486898004
Group Practice PAC ID
2860392529
Professional Enrollment ID
I20180911000326
Address ID
WY827163426GI501XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:12State licenses:3Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for JOEL DENNIS TUCKETT

  • 1932 10TH AVE E

    HIBBING, MN 557461614

    Phone: (208) 757-3937

    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: 2018-09-11

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
I20180911000326ICertified Registered Nurse Anesthetist (Crna)WYTBD

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 55746)

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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: 2860392529View full group profile
NameSpecialtyState
Radiation OncologyIL
-WY
Internal MedicineIL
Emergency MedicineND
-WY
-WY
Clinical Social WorkerWY
Orthopedic SurgeryWY
Nurse PractitionerWY
Certified Registered Nurse Anesthetist (Crna)WY

Reviews

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Frequently asked questions

What NPI should I save for JOEL DENNIS TUCKETT?
Save NPI 1487096434 if you need a stable reference for JOEL DENNIS TUCKETT.
Is JOEL DENNIS TUCKETT active in the national directory?
JOEL DENNIS TUCKETT's public NPI profile is in an active state.
What does JOEL DENNIS TUCKETT treat or focus on?
Patients typically see JOEL DENNIS TUCKETT under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place JOEL DENNIS TUCKETT?
The snapshot lists Hibbing, Minnesota for JOEL DENNIS TUCKETT; download NPPES for the complete set.
What if Hibbing, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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