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

Kaitlyn Tucker, CNP

Individual provider Family Nurse Practitioner · NPI 1164068805

Kaitlyn Tucker, CNP is a Nurse Practitioner in Springfield, Illinois. Qualified in 2019, 7 years ago. Practices with Springfield Clinic, LLP, a 679-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

800 N 1st St
Springfield, IL 62702-3778
Phone: (217) 528-7541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 26 Knollwood Dr, Sherman, IL 62684-9559 — (217) 828-0764

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.020167 (IL)

Record details

NPI number1164068805
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedNovember 18, 2019
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Springfield Clinic, Llp — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Springfield