ANGALESIA RUCKER (NP-C) – Women's Health Nurse Practitioner, NPI 1376953489

ANGALESIA RUCKER (NP-C) is a healthcare provider. based in Cleveland, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. COA.15837-NP (OH). The NPI Number for ANGALESIA RUCKER (NP-C) is 1376953489

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
ANGALESIA RUCKER (NP-C)
NPI
1376953489
Phone
(216) 313-7583
Address
12000 SHAKER BLVD
Enumeration Date
29 April 2014
Last Update Date
30 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
21658767273402
Graduation Year
2014 (12 years ago)
PAC ID
8729369327
Group Practice PAC ID
6507895067
Professional Enrollment ID
I20161219001616
Address ID
OH442563336ME801XXSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for ANGALESIA RUCKER (NP-C)

  • 12000 SHAKER BLVD

    CLEVELAND, OH 441201922

    Phone: (216) 313-7583

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 212 Open Payments records for all available years, with a total value of $3,546.

Total Amount is formed as General ($3,546) + Research ($0) + Ownership ($0) = $3,546.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($787).

Total Amount

$3,546

General + Research + Ownership

Payments

212

Total payment records

General Amount

$3,546

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-12-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161219001616INurse PractitionerOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes26831$0
View full utilization report →

Insurance plans in this area (ZIP 44120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507895067View full group profile
NameSpecialtyState
Clinical Social WorkerOH
P S Y C H I A T R YOH
Nurse PractitionerOH
P S Y C H I A T R YOH
-OH
Physician AssistantOH
Mental Health CounselorOH
Physician AssistantOH
Nurse PractitionerOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

Can I verify ANGALESIA RUCKER (NP-C) with an NPI only?
You can start verification with NPI 1376953489 for ANGALESIA RUCKER (NP-C), then check state licensing separately.
Can I rely on ANGALESIA RUCKER (NP-C) being an active provider?
As of the registry snapshot, ANGALESIA RUCKER (NP-C) is marked active.
What is ANGALESIA RUCKER (NP-C)'s primary classification?
Women's Health Nurse Practitioner is the headline specialty for ANGALESIA RUCKER (NP-C) here. Clinical services aligned with this taxonomy classification.
Does ANGALESIA RUCKER (NP-C) list a practice location?
Patients near Cleveland, Ohio may find ANGALESIA RUCKER (NP-C) in results; validate coverage separately.
Why does ANGALESIA RUCKER (NP-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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