CRYSTAL D RUCKER PA-C
NPI 1699873257
Physician Assistant in Grafton, WV

Q: What is Crystal Rucker's NPI number?

The NPI number for Crystal Rucker is 1699873257. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Crystal Rucker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Rucker was last updated on February 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 20, 2006PECOS Enrolled

725 N PIKE ST, GRAFTON, WV 26354(304) 265-4909(304) 265-4915 Get Directions Write a Review

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2019, Dec 15, 2015 (2 updates tracked since 2015).

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About Crystal D Rucker Pa-c NPPES

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

CRYSTAL D RUCKER PA-C (NPI 1699873257) is an individual physician assistant in Grafton, West Virginia, licensed in West Virginia (461) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Newburg.

NPPES Registry Identity

NPI1699873257

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCRYSTAL D RUCKERCredential: PA-C

Location Address725 N PIKE STGrafton, WV 26354-1270

Mailing AddressPo Box 35Newburg, WV 26410-0035 · (304) 892-2828 · Fax (304) 892-2927

Phone(304) 265-4909

Fax(304) 265-4915

Sole ProprietorYes

Enumeration DateSeptember 20, 2006

Last NPPES UpdateFebruary 25, 20192 updates tracked since enumeration

✔ NPI 1699873257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WV · 461

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

725 N PIKE ST, Grafton, WV 26354

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Secondary Practice Location 1

Location 12060 N Mountaineer HwyNewburg, WV 26410-8994 · Phone (304) 892-2812 · Fax (304) 892-2814

Other Identifiers 1

Medicaid3910005605WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal D Rucker Pa-c 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 26354 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers13 claims25 services$1.36 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers12 claims12 services$5.60 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier13 claims13 services$117.21 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

3 suppliers15 claims4,935 services$0.03 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier16 claims16 services$31.38 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers15 claims15 services$20.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

DESIRAE ANN TEMPLETON MS, PA-C

Physician Assistant (Medical)