MRS. KALEN RUCKER CNM
NPI 1013633619
Advanced Practice Midwife in Jacksonville, NC

Q: What is Kalen Rucker's NPI number?

The NPI number for Kalen Rucker is 1013633619. It was assigned to this individual provider in the NPPES registry on October 14, 2022.

Q: What is Kalen Rucker's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kalen Rucker was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 14, 2022PECOS Enrolled

245 MEMORIAL DR, JACKSONVILLE, NC 28546(910) 353-4333(910) 353-2108 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2025, Oct 20, 2022, Oct 14, 2022 (3 updates tracked since 2022).

On this page

About Mrs. Kalen Rucker Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KALEN RUCKER CNM (NPI 1013633619) is an individual advanced practice midwife in Jacksonville, North Carolina, licensed in North Carolina (811) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Goldsboro, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013633619

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameMRS. KALEN RUCKERCredential: CNM

Location Address245 MEMORIAL DRJacksonville, NC 28546-6333

Mailing Address245 Memorial DrJacksonville, NC 28546-6333 · (910) 353-4333

Phone(910) 353-4333

Fax(910) 353-2108

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 14, 2022

Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration

NPPES CertifiedDecember 2, 2025

✔ NPI 1013633619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in NC · 811

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

245 MEMORIAL DR, Jacksonville, NC 28546

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Secondary Practice Location 1

Location 12811 McLamb PlGoldsboro, NC 27534-1647 · Phone (919) 587-3980 · Fax (919) 587-3981

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kalen Rucker Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507355351

PECOS Enrollment IDI20251030004586, I20251208002072

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kalen Rucker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Unc Physicians Network, LLC

56 mi

Family Medicine

403 FAIRVIEW ST
Clinton, NC 28328

Reassigned Medicare billing, North Carolina enrollment
1,337 clinicians in this Medicare group

NPI 1164793576 (910) 592-6011

Obhg North Carolina, P.C.

198 mi

Obstetrics & Gynecology

1000 BLYTHE BLVD
Charlotte, NC 28203

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Obhg North Carolina PC
196 clinicians in this Medicare group

NPI 1124300876 (800) 967-2289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WOMENS HEALTHCARE ASSOCIATES PA

Obstetrics & Gynecology