MRS. KIM PYOUNGSOON RUCKER N.P.
NPI 1598916371
Nurse Practitioner - Family in Denver, CO

Active since October 09, 2008PECOS Enrolled
1055 CLERMONT ST, DENVER VA MEDICAL CENTER, AMBULARTORY CARE (11B), DENVER, CO 80220(303) 399-8020 Get Directions Write a Review

NPPES record last updated: December 18, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kim Pyoungsoon Rucker N.p. NPPES

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

MRS. KIM PYOUNGSOON RUCKER N.P. (NPI 1598916371) is an individual family provider in Denver, Colorado, licensed in Colorado (89129) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598916371
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KIM PYOUNGSOON RUCKERCredential: N.P.
Location Address1055 CLERMONT ST, DENVER VA MEDICAL CENTER, AMBULARTORY CARE (11B)Denver, CO 80220-3808
Mailing Address25222 E Indore DrAurora, CO 80016-2188 · (303) 699-4885
Sole ProprietorNo
Enumeration DateOctober 9, 2008
Last NPPES UpdateDecember 18, 2010
NPI 1598916371 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 CO · 89129
1055 CLERMONT ST, Denver, CO 80220

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. Kim Pyoungsoon Rucker N.p. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80220 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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 20

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

Registered Nurse
1055 CLERMONT ST
DENVER, CO 80220
Psychologist
1055 CLERMONT ST
DENVER, CO 80220
Nurse Practitioner (Family)
1055 CLERMONT ST
DENVER, CO 80220
Specialist
1055 CLERMONT ST, 11B, AMBULATORY CARE
DENVER, CO 80220
Psychologist (Clinical)
1055 CLERMONT ST, MIRECC
DENVER, CO 80220
Pharmacist
1055 CLERMONT ST, PHARMACY DEPARTMENT
DENVER, CO 80220
Internal Medicine (Gastroenterology)
1055 CLERMONT ST
DENVER, CO 80220
Marriage & Family Therapist
1055 CLERMONT ST
DENVER, CO 80220

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 Kim Rucker's NPI number?

The NPI number for Kim Rucker is 1598916371. It was assigned to this individual provider in the NPPES registry on October 9, 2008.

Where is Kim Rucker located?

Kim Rucker practices at 1055 Clermont St Denver VA Medical Center, Ambulartory Care (11b), Denver, CO 80220. The listed phone number is (303) 399-8020.

What is Kim Rucker's specialty?

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

Is Kim Rucker enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kim Rucker was last updated on December 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.