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ASHLEY NICHOLE RUCKO
NPI 1609672476
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Active since February 21, 2025PECOS Enrolled
4200 MONUMENT RD, PHILADELPHIA, PA 19131(215) 877-2000 Get Directions Write a Review

NPPES record last updated: March 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 29, 2025, Feb 23, 2025 (2 updates tracked since 2025).

About Ashley Nichole Rucko NPPES

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

ASHLEY NICHOLE RUCKO (NPI 1609672476) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP032270) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1609672476
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameASHLEY NICHOLE RUCKO
Location Address4200 MONUMENT RDPhiladelphia, PA 19131-1625
Mailing Address66 Martin LnNorwood, PA 19074-1025
Phone(215) 877-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 21, 2025
Last NPPES UpdateMarch 29, 20252 updates tracked since enumeration
NPPES CertifiedMarch 29, 2025
✔ NPI 1609672476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP032270
4200 MONUMENT RD, Philadelphia, PA 19131
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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 (PECOS)

Ashley Nichole Rucko is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719499839
PECOS Enrollment IDI20250625000123
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 19131 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

DR. AYESHA SILMAN M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4200 MONUMENT RD
PHILADELPHIA, PA 19131
Philadelphia County (267) 996-6834
PHILIP BROOKS LMFT
Marriage & Family Therapist
4200 MONUMENT RD
PHILADELPHIA, PA 19131
Philadelphia County (215) 877-2000
STACEY SALEFF MOTR/L, RYT
Occupational Therapist (Mental Health)
4200 MONUMENT RD, RSD
PHILA, PA 19131
Philadelphia County (215) 952-0750
BELMONT CENTER FOR COMPRHENSIVE TREATMENT
Clinic/Center
4200 MONUMENT RD
PHILA, PA 19131
Philadelphia County (215) 456-6611
WANDA MARIA SZTANDERA
Counselor (Mental Health)
4200 MONUMENT RD
PHILADELPHIA, PA 19131
Philadelphia County (215) 581-3869
DR. KAREN MARIE OWENS PSY.D.
Psychologist
4200 MONUMENT RD
PHILADELPHIA, PA 19131
Philadelphia County (215) 581-3744
MISS CASSIE S WOLFE LCSW, MED.
Case Manager/Care Coordinator
4200 MONUMENT RD
PHILADELPHIA, PA 19131
Philadelphia County (215) 581-3742
SUSAN LOGSDON LSW, M. ED
Social Worker
4200 MONUMENT RD
PHILADELPHIA, PA 19131
Philadelphia County (215) 581-2000

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 Ashley Rucko's NPI number?

The NPI number for Ashley Rucko is 1609672476. It was assigned to this individual provider in the NPPES registry on February 21, 2025.

Where is Ashley Rucko located?

Ashley Rucko practices at 4200 Monument Rd, Philadelphia, PA 19131. The listed phone number is (215) 877-2000.

What is Ashley Rucko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ashley Rucko enrolled in Medicare?

Yes. Ashley Rucko is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ashley Rucko was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.