HENRY MCKINLEY RUCKER
NPI 1407392855
Nurse Practitioner - Family in Las Vegas, NV

Active since January 10, 2017PECOS EnrolledAccepts Medicare Assignment
4580 S EASTERN AVE STE 29, LAS VEGAS, NV 89119(702) 954-4915 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 31, 2017, Apr 27, 2017, Jan 10, 2017 (3 updates tracked since 2017).

About Henry Mckinley Rucker NPPES

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

HENRY MCKINLEY RUCKER (NPI 1407392855) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (APRN002241) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1407392855
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameHENRY MCKINLEY RUCKER
Location Address4580 S EASTERN AVE STE 29Las Vegas, NV 89119-6100
Mailing Address4580 S Eastern Ave Ste 29Las Vegas, NV 89119-6100 · (702) 954-4915
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 10, 2017
Last NPPES UpdateJune 17, 20263 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
NPI 1407392855 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 NV · APRN002241
4580 S EASTERN AVE STE 29, Las Vegas, NV 89119

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

Henry Mckinley 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 ID2062780042
PECOS Enrollment IDI20180814003849
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89119 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

Other Providers at the Same Location NPPES 6

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

Behavior Technician
4580 S EASTERN AVE STE 29
LAS VEGAS, NV 89119
Social Worker (Clinical)
4580 S EASTERN AVE STE 29
LAS VEGAS, NV 89119
Community/Behavioral Health
4580 S EASTERN AVE STE 29
LAS VEGAS, NV 89119
Family Medicine (Adult Medicine)
4580 S EASTERN AVE STE 29
LAS VEGAS, NV 89119
Community/Behavioral Health
4580 S EASTERN AVE STE 29
LAS VEGAS, NV 89119
Clinic/Center
4580 S EASTERN AVE STE 29
LAS VEGAS, NV 89119

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 Henry Rucker's NPI number?

The NPI number for Henry Rucker is 1407392855. It was assigned to this individual provider in the NPPES registry on January 10, 2017.

Where is Henry Rucker located?

Henry Rucker practices at 4580 S Eastern Ave Ste 29, Las Vegas, NV 89119. The listed phone number is (702) 954-4915.

What is Henry Rucker's specialty?

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

Is Henry Rucker enrolled in Medicare?

Yes. Henry 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 Henry Rucker was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 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.