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MR. MICHAEL RUCKER II PA-C
NPI 1083107965
Physician Assistant - Surgical in Jacksonville, FL

Active since June 14, 2018PECOS EnrolledAccepts Medicare Assignment
1824 KING ST, STE 200, JACKSONVILLE, FL 32204(904) 384-3343(904) 400-6671 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 31, 2025, Nov 22, 2022, Nov 7, 2018 and 1 more (4 updates tracked since 2018).

About Mr. Michael Rucker Ii Pa-c NPPES

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

MR. MICHAEL RUCKER II PA-C (NPI 1083107965) is an individual surgical provider in Jacksonville, Florida, licensed in Florida (PA9111567) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1083107965
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. MICHAEL RUCKER IICredential: PA-C
Location Address1824 KING ST, STE 200Jacksonville, FL 32204
Mailing Address1824 King St, Ste 200Jacksonville, FL 32204 · (904) 384-3343 · Fax (904) 400-6671
Phone(904) 384-3343
Fax(904) 400-6671
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 14, 2018
Last NPPES UpdateMarch 31, 20254 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1083107965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA9111567
1824 KING ST, Jacksonville, FL 32204
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Michael Rucker Ii Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032453709
PECOS Enrollment IDI20181206001899
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
46 services36 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
24 services24 patients
Coronary artery bypass using vein or artery graft, 2 grafts 33518
A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

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.

CHARLES DONALDSON COUSAR M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1824 KING ST, SUITE 200
JACKSONVILLE, FL 32204
Duval County (904) 421-5586
MICHAEL KENNETH BLUETT M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1824 KING ST, SUITE 200
JACKSONVILLE, FL 32204
Duval County (904) 421-5586
CARLTON R MCCARTHY
Physician Assistant (Surgical)
1824 KING ST, SUITE 200
JACKSONVILLE, FL 32204
Duval County (904) 421-5586
SOUTHERN HEART GROUP
Internal Medicine (Cardiovascular Disease)
1824 KING ST, SUITE 300
JACKSONVILLE, FL 32204
Duval County (904) 388-1820
CHRISTINE WAHRMANN SCHERKENBACH PA-C
Physician Assistant (Surgical)
1824 KING ST, SUITE 200
JACKSONVILLE, FL 32204
Duval County (904) 421-5586
PARK AVENUE HEART AND VASCULAR CENTER LLC
Internal Medicine (Cardiovascular Disease)
1824 KING ST, SUITE 250
JACKSONVILLE, FL 32204
Duval County (904) 388-1820
LOUIS EDWARD MIERS PA
Physician Assistant (Surgical)
1824 KING ST, SUITE 200
JACKSONVILLE, FL 32204
Duval County (904) 384-3343
SONAL PATEL ARNP
Nurse Practitioner (Adult Health)
1824 KING ST, SUITE 300
JACKSONVILLE, FL 32204
Duval County (904) 388-1820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Rucker's NPI number?

The NPI number for Michael Rucker is 1083107965. It was assigned to this individual provider in the NPPES registry on June 14, 2018.

Where is Michael Rucker located?

Michael Rucker practices at 1824 King St Ste 200, Jacksonville, FL 32204. The listed phone number is (904) 384-3343.

What is Michael Rucker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Michael Rucker enrolled in Medicare?

Yes. Michael Rucker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Rucker accept?

Health plans from AvMed, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Michael Rucker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Rucker affiliated with any hospitals?

According to CMS data, Michael Rucker is affiliated with Ascension St Vincent's Riverside and Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Michael Rucker was last updated on March 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.