HEATHER J RUCCIO (PA) – Medical Physician Assistant, NPI 1396921219
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
Provider Addresses for HEATHER J RUCCIO (PA)
East Virginia Street, Evansville, Vanderburgh County, Indiana, 47711, United States
EVANSVILLE, IN 477159144
Phone: (812) 962-7890
Fax: (812) 476-6162
Type: Mailing
950 BRECKENRIDGE LN STE 280
LOUISVILLE, KY 402075900
Phone: (844) 893-0012
Type: Location
159, South 7th Street, Vincennes, Knox County, Indiana, 47591, United States
VINCENNES, IN 475911038
Phone: (812) 316-0327
Fax: (812) 476-7117
Type: Location
305 Koehler Dr
Lebanon, KY 400339388
Phone: (270) 402-8259
Type: Location
305 KOEHLER DR
LEBANON, KY 400339388
Phone: (270) 402-8559
Fax: (270) 440-5398
Type: Mailing
PO BOX 12369
MURFREESBORO, TN 371290048
Phone: (844) 893-0012
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $679.
Total Amount is formed as General ($679) + Research ($0) + Ownership ($0) = $679.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($313).
Total Amount
$679
General + Research + Ownership
Payments
20
Total payment records
General Amount
$679
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2008-04-03
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 |
|---|---|---|---|---|
| I20080403000370 | I | Physician Assistant | KY | 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 47715)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Physician Assistant | MO | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | OH |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.