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Deactivated NPI 1316489669 Deactivated / Inactive NPI Male Practitioner

Brandon Raye Tucker , ARNP

Nurse Practitioner - Family • Ocoee, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Brandon Tucker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 17, 2016
NPI Deactivation Date January 15, 2026
Total Practice Duration ~10 Years of Practice (2016 – 2026)

Professional Overview & Biography Verified Profile Summary

Brandon Tucker, ARNP was a registered Nurse Practitioner - Family practicing in Ocoee, FL. Throughout an active medical career spanning 10 years, Brandon Tucker provided care at the practice location at 250 WHITE DOGWOOD LN until profile deactivation on 2026-01-15.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

250 White Dogwood Ln

Ocoee, FL 347614878

Telephone 8505093888

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Ocoee, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.1 Yrs
State Avg: 8.1 Yrs
Regional Practice Density
40 Specialists

Practicing in Ocoee, FL (22518 Statewide)

Telehealth Adoption Rate
7.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
138 131 $150.00 $74.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
124 112 $185.00 $105.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
67 67 $195.00 $92.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
42 42 $225.00 $138.23

Medical Specialties & State Licenses

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License FL ARNP9310955

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated January 15, 2026

Record deactivated on January 15, 2026

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Updated Practice Location January 09, 2023

Registered at 2110 W SUNSET BLVD STE M, LOS ANGELES, CA 900267318 (Tel: 8338732852)

NPI Profile Active November 17, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 17, 2016

Registered at 250 WHITE DOGWOOD LN, OCOEE, FL 347614878 (Tel: 8505093888)

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Updated Business Mailing Address November 17, 2016

Registered at 250 WHITE DOGWOOD LANE, OCOE, FL 347614878 (Tel: 8505093888)

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Provider Name / Credentials Updated November 17, 2016

Recorded as BRANDON TUCKER, ARNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2016

Nurse Practitioner (License #ARNP9310955 in FL)

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Initial NPI Registration & Enumeration November 17, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316489669
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2016
Last Update: November 17, 2016
Deactivation Date: January 15, 2026

Mailing Address

250 White Dogwood Lane

Ocoe, FL 347614878

Phone: 8505093888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.