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

Nicole Tucker, PA-C

Individual provider Physician Assistant · NPI 1962243444

Nicole Tucker, PA-C is a Physician Assistant in Lakewood, Colorado. Qualified in 2024, 2 years ago. Practices with Portercare Adventist Health System, a 767-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
2
Licensed in
CO
In the registry since
2024
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

12596 W Bayaud Ave Ste 100
Lakewood, CO 80228-2035
Phone: (720) 638-7500
Fax: (720) 812-5134
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 — (720) 638-7500
  • 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 — (720) 638-7500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.8612 (CO)
Physician Assistant Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence PA.8882 (CO)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA.0008612 (CO)

Record details

NPI number1962243444
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 6, 2024
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Portercare Adventist Health System — 767 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Lakewood