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

Levi Jacob Tucker, FNP-C

Individual provider Nurse Practitioner · NPI 1699532242

Levi Jacob Tucker, FNP-C is a Nurse Practitioner in Coffeyville, Kansas. Qualified in 2021, 5 years ago. Practices with Community Health Center of Southeast Kansas Inc, a 111-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
5
Licensed in
KS
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

801 W 8th St
Coffeyville, KS 67337-4109
Phone: (620) 251-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3751 W Main St, Independence, KS 67301-8446 — (620) 577-2131

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5381178091 (KS)

Record details

NPI number1699532242
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 29, 2024
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Community Health Center Of Southeast Kansas Inc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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