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ANDREW CONRAD RUCKER
NPI 1083150015
Nurse Practitioner - Family in Kingman, AZ

Active since January 14, 2017PECOS EnrolledAccepts Medicare Assignment
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409(928) 757-2101 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2017, Jan 19, 2017, Jan 14, 2017 (3 updates tracked since 2017).

About Andrew Conrad Rucker NPPES

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

ANDREW CONRAD RUCKER (NPI 1083150015) is an individual family provider in Kingman, Arizona, licensed in Arizona (AP9899) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1083150015
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameANDREW CONRAD RUCKER
Location Address3269 N STOCKTON HILL RDKingman, AZ 86409-3619
Mailing Address3269 N Stockton Hill RdKingman, AZ 86409-3619 · (928) 757-2101
Phone(928) 757-2101
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 14, 2017
Last NPPES UpdateFebruary 8, 20173 updates tracked since enumeration
✔ NPI 1083150015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP9899
3269 N STOCKTON HILL RD, Kingman, AZ 86409
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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

Andrew Conrad Rucker 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 ID4981980604
PECOS Enrollment IDI20170412002058
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
92 services91 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
53 services53 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86409 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$16.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$82.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LINDSAY J ESCOBEDO DO, ND, MBA
Student in an Organized Health Care Education/Training Program
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 263-4466
MS. CARIDAD PADRON MD
Internal Medicine
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 757-2101
MICHAEL DEBOER D.O
Family Medicine
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (702) 222-4307
DR. TANNER JACE HANCOCK DO
Student in an Organized Health Care Education/Training Program
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 263-3160
MR. MICHAEL MOORE RPH
Pharmacist (Geriatric)
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 263-4884
KRIKOR KRIKORIAN DO
Family Medicine
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 757-2101
ALEXANDRE GREBENCHTCHIKOV
Family Medicine
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (716) 560-1845
MS. JUVY ESCALANTE PA
Physician Assistant
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 757-2101

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 Andrew Rucker's NPI number?

The NPI number for Andrew Rucker is 1083150015. It was assigned to this individual provider in the NPPES registry on January 14, 2017.

Where is Andrew Rucker located?

Andrew Rucker practices at 3269 N Stockton Hill Rd, Kingman, AZ 86409. The listed phone number is (928) 757-2101.

What is Andrew Rucker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrew Rucker enrolled in Medicare?

Yes. Andrew 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.

When was this NPI record last updated?

The NPPES record for Andrew Rucker was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.