RUCKER CLINIC A LIMESTONE MEDICAL CENTER CLINIC
NPI 1275242489
Nurse Practitioner - Family in Mart, TX
About Rucker Clinic A Limestone Medical Center Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUCKER CLINIC A LIMESTONE MEDICAL CENTER CLINIC (NPI 1275242489) is a healthcare organization registered as a family in Mart, Texas and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through September 4, 2028 and lists Julie Ann Wilson, Chief Compliance Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rucker Clinic A Limestone Medical Center Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Rucker Clinic A Limestone Medical Center Clinic, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (19)
Waco, TX 76710
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D1020890
Rucker Clinic A Limestone Medical Center Clinic · Mart, TXFrequently 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 South Limestone Hospital District's NPI number?
The NPI number for South Limestone Hospital District is 1275242489. It was assigned to this organization in the NPPES registry on November 16, 2022. The provider is doing business as Rucker Clinic A Limestone Medical Center Clinic.
Where is South Limestone Hospital District located?
South Limestone Hospital District is located at 200 N Pearl St, Mart, TX 76664. The listed phone number is (254) 729-3281.
What is South Limestone Hospital District's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is South Limestone Hospital District enrolled in Medicare?
Yes. South Limestone Hospital District is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Limestone Hospital District?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 6 Medicare specialties reassign their Medicare billing to South Limestone Hospital District. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Family Practice (5) and Psychiatry (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Limestone Hospital District hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D1020890) is associated with this NPI, valid through September 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for South Limestone Hospital District was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Rucker Clinic A Limestone Medical Center Clinic · NPI 1275242489
Family organization in Mart, Texas. Organization record, active in the CMS NPPES registry since November 16, 2022.
## Identity
- **NPI:** 1275242489 (Entity type: Organization)
- **Enumerated:** November 16, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Legal business name:** South Limestone Hospital District
- **Organization subpart:** Yes (part of South Limestone Hospital District)
- **Authorized official:** Julie Wilson, CHIEF COMPLIANCE OFFICER
## Practice location
- **Address:** 200 N PEARL ST, Mart, TX 76664-1142
- **Phone:** (254) 729-3281 · **Fax:** (254) 729-3080
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (5), Psychiatry (4) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 30, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1275242489) · Data from the CMS NPPES public registry.