MR. MICHAEL RUCKER PA-C NPI 1083107965

NPI Details

MR. Michael Rucker, PA-C is a surgical physician assistant in Jacksonville, FL with 8 years of experience. MR. Michael Rucker, PA-C NPI is 1083107965. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1824 KING ST
STE 200
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 384-3343
Fax: (904) 400-6671

The NPI 1083107965 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
• Coronary artery bypass using artery graft, 1 graft (HCPCS:33533)
• Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
• Coronary artery bypass using vein or artery graft, 2 grafts (HCPCS:33518)
• Coronary artery bypass using vein or artery graft, 1 graft (HCPCS:33517)
• Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)

The enumeration date for this NPI number is 6/14/2018 and was last updated on 3/31/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: