Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Avery Tucker

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811457914

Avery Tucker is a Family Practice in Saint Paul, Minnesota. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2019, 7 years ago. Practices with Fairview Clinics, a 806-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
7
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
MN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2155 Ford Pkwy Ste A
Saint Paul, MN 55116-2799
Phone: (651) 696-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2020 E 28th St Ste 104, Minneapolis, MN 55407-1453 — (612) 333-0770

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 67931 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811457914
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 23, 2019
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022
Mailing address2020 E 28th St Ste 104, Minneapolis, MN 55407-1453

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2019 (7 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Saint Paul