SHELLI TUCK AGPCNP-C MS BSN NPI 1518495522

NPI Information

  • NPI: 1518495522
  • Provider Name: SHELLI TUCK, AGPCNP-C, MS, BSN
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 34279 ASPEN PARK DR
    CHESTERFIELD, MI
    ZIP 48047
  • Phone: (586) 243-9120

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NPI Details

Shelli Tuck, AGPCNP-C, MS, BSN is a nurse practitioner in Chesterfield, MI. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Shelli Tuck, AGPCNP-C, MS, BSN NPI is 1518495522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

34279 ASPEN PARK DR
CHESTERFIELD, MI
ZIP 48047-105
Phone: (586) 243-9120
Fax: (586) 610-2722

The NPI 1518495522 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/3/2017 and was last updated on 7/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthAG05170100MICHIGANNo
2363LG0600XNurse PractitionerGerontologyAG05170100MICHIGANNo
3363LP2300XNurse PractitionerPrimary CareAG05170100MICHIGANNo
4363L00000XNurse PractitionerAG07220208MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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