ANDREW COWLES RUCKER (D.O.) – Child & Adolescent Psychiatry Physician, NPI 1265965933
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,953 PSYCHIATRY in FL
Provider Addresses for ANDREW COWLES RUCKER (D.O.)
PO BOX 147006
GAINESVILLE, FL 326147006
Phone: (352) 333-5982
Type: Mailing
555 W STATE ROAD 434
LONGWOOD, FL 327505119
Phone: (407) 262-2220
Fax: (407) 834-5011
Type: Mailing
400 E Sheridan Rd
Melbourne, FL 329013184
Phone: (321) 722-5200
Type: Location
8895 N Military Trl Ste 203C
West Palm Beach, FL 334106261
Phone: (754) 270-6322
Fax: (754) 270-6321
Type: Location
820 Prudential Dr Ste 510
Jacksonville, FL 322078207
Phone: (904) 376-3800
Type: Location
3015 N Ocean Blvd Ste C101
Fort Lauderdale, FL 333087300
Phone: (754) 270-6322
Fax: (754) 270-6321
Type: Location
1147, Northwest 64th Terrace, Durant Estates, City of Gainesville Municipal Boundaries, Alachua County, Florida, 32605, United States
GAINESVILLE, FL 326054218
Phone: (352) 333-5982
Type: Location
PO BOX 748519
ATLANTA, GA 303748519
Phone: (904) 376-3800
Fax: (904) 376-3998
Type: Mailing
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 322078207
Phone: (904) 318-7387
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-06-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220615000381 | I | Psychiatry | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32614)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL |
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