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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. THERESA RENEE RUCKER PA
NPI 1356391882
Physician Assistant - Medical in Viera, FL

Active since May 12, 2006PECOS Enrolled
2900 VETERANS WAY, VIERA, FL 32940(321) 637-3788 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Theresa Renee Rucker Pa NPPES

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

MRS. THERESA RENEE RUCKER PA (NPI 1356391882) is an individual medical provider in Viera, Florida, licensed in Florida (2203) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356391882
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. THERESA RENEE RUCKERCredential: PA
Location Address2900 VETERANS WAYViera, FL 32940-8007
Mailing Address1291 Harbor Town CirMelbourne, FL 32940-1912 · (321) 757-0409
Phone(321) 637-3788
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1356391882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · 2203
2900 VETERANS WAY, Viera, FL 32940
Open in Google Maps ↗

Other Names 1

Professional Name (2)Ms. Theresa Rucker Pa

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Theresa Renee Rucker Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Francis ***** June 16, 2024

5/5
Provider was very professional and very through
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

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.

DR. WILLIAM SAVINO JR. PHARMD
Pharmacist (Ambulatory Care)
2900 VETERANS WAY
VIERA, FL 32940
Brevard County (321) 637-3788
MRS. JAN M MCCALEB PA-C
Physician Assistant
2900 VETERANS WAY
VIERA, FL 32940
Brevard County (321) 637-3571
RANAE REED PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2900 VETERANS WAY
VIERA, FL 32940
Brevard County (321) 637-3788
JORGE CARBAJOSA LCSW
Social Worker (Clinical)
2900 VETERANS WAY
VIERA, FL 32940
Brevard County (321) 637-3788
MS. FRANCESCA GARDNER HARMON LCSW
Social Worker (Clinical)
2900 VETERANS WAY, MHC/HCHV
VIERA, FL 32940
Brevard County (321) 367-3660
ERIN CALEB
Pharmacy Technician
2900 VETERANS WAY
VIERA, FL 32940
Brevard County (321) 637-3788
MR. DOUGLAS ROBERT BRATHOLT LCSW
Social Worker (Clinical)
2900 VETERANS WAY
VIERA, FL 32940
Brevard County (321) 637-3788
DR. GEORGE ELKOMOS M.D.
Family Medicine
2900 VETERANS WAY
VIERA, FL 32940
Brevard County (321) 637-3788

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 Theresa Rucker's NPI number?

The NPI number for Theresa Rucker is 1356391882. It was assigned to this individual provider in the NPPES registry on May 12, 2006. The provider is also known as Ms. Theresa Rucker PA.

Where is Theresa Rucker located?

Theresa Rucker practices at 2900 Veterans Way, Viera, FL 32940. The listed phone number is (321) 637-3788.

What is Theresa Rucker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Theresa Rucker enrolled in Medicare?

Yes. Theresa Rucker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theresa Rucker was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.