JAMIE TUCKER (PA) – Physician Assistant, NPI 1285639401
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
120 ALLERGY/IMMUNOLOGY in TN
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Provider Addresses for JAMIE TUCKER (PA)
142, West 5th Street, Cookeville, Putnam County, Tennessee, 38501, United States
COOKEVILLE, TN 385011760
Phone: (866) 313-5259
Fax: (205) 313-5298
Type: Location
PO BOX 938
COOKEVILLE, TN 385030938
Phone: (866) 313-5259
Fax: (205) 313-5298
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $489.
Total Amount is formed as General ($489) + Research ($0) + Ownership ($0) = $489.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($170).
Total Amount
$489
General + Research + Ownership
Payments
17
Total payment records
General Amount
$489
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-05-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230511001353 | I | Allergy/Immunology | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95117 | Professional service for multiple injections of allergen | 67 | 57 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 29 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 22 | $0 |
Insurance plans in this area (ZIP 38501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| Nurse Practitioner | AL | |
| - | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| A L L E R G Y/ I M M U N O L O G Y | TN | |
| Nurse Practitioner | TN | |
| - | TN |
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