MRS. AMANDA LEE RUCIENSKI (NURSE PRACTITIONER) – Nurse Practitioner, NPI 1760814081
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,989 NURSE PRACTITIONER in OH
Provider Addresses for MRS. AMANDA LEE RUCIENSKI (NURSE PRACTITIONER)
5320 E Main St Ste 800
Columbus, OH 432132506
Phone: (614) 604-8231
Fax: (614) 604-8312
Type: Location
378 W Chestnut St Ste 103
Washington, PA 153014661
Phone: (412) 660-7064
Fax: (412) 660-7064
Type: Location
507 Burroughs St Ste 109
Morgantown, WV 265053392
Phone: (412) 660-7064
Fax: (724) 249-2825
Type: Location
8911 N Capital Of Texas Hwy Ste 1110
Austin, TX 787597203
Phone: (877) 279-5960
Fax: (855) 916-1997
Type: Location
392 LUSK RD
BENTLEYVILLE, PA 153141974
Phone: (724) 258-7772
Type: Mailing
155 WILSON AVE
WASHINGTON, PA 153013336
Phone: (724) 579-1654
Type: Location
378 W CHESTNUT ST STE 103
WASHINGTON, PA 153014661
Phone: (412) 660-7064
Type: Mailing
4229 BARDSTOWN RD STE 218
LOUISVILLE, KY 402183266
Phone: (502) 749-7008
Fax: (502) 749-7012
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: 2025-10-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20140227000236 | I | Nurse Practitioner | PA | TBD |
| I20200618002793 | I | Nurse Practitioner | OH | TBD |
| I20220608001702 | I | Nurse Practitioner | IN | TBD |
| I20250423002382 | I | Nurse Practitioner | KY | TBD |
| I20251010001275 | I | Nurse Practitioner | WV | 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 43213)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Addiction Medicine | OH | |
| Family Practice | PA | |
| Family Practice | KY |
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