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

Carrie S. Tucker, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1194039289

Carrie S. Tucker, NURSEPRACTITIONER is a Nurse Practitioner in Springfield, Illinois. Qualified in 2010, 16 years ago. Practices with Board of Trustees of Southern Illinois University, a 142-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
16
Licensed in
IL
In the registry since
2010
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Practice location Address checks out

520 N 4th St
Springfield, IL 62702-5238
Phone: (217) 545-8000
Fax: (217) 747-1351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209008262 (IL)

Record details

NPI number1194039289
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 30, 2010
Last updated in NPPESJanuary 11, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Board Of Trustees Of Southern Illinois University — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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