JOANNA MARIE RUCKDESCHELL (PA-C) – Physician Assistant, NPI 1457720229

JOANNA MARIE RUCKDESCHELL (PA-C) is a healthcare provider. based in Crowley, Texas. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA10332 (TX). The NPI Number for JOANNA MARIE RUCKDESCHELL (PA-C) is 1457720229

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JOANNA MARIE RUCKDESCHELL (PA-C)
NPI
1457720229
Phone
Not provided
Address
1925 LONGHORN TRL
Enumeration Date
22 September 2015
Last Update Date
23 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2122639700
Graduation Year
2015 (11 years ago)
PAC ID
0749585271
Group Practice PAC ID
1355232422
Professional Enrollment ID
I20170809004076

Contacts

Secure Messaging
jruckdeschell215378@nyumc.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:10State licenses:2Other namesUpdated within 12 months

Provider Addresses for JOANNA MARIE RUCKDESCHELL (PA-C)

  • 1925 LONGHORN TRL

    CROWLEY, TX 760364749

    Phone:

    Type: Mailing

  • 570 1ST AVE

    NEW YORK, NY 100166512

    Phone: (212) 263-5550

    Type: Location

  • 1504 Taub Loop # I

    Houston, TX 770301608

    Phone: (713) 873-2626

    Type: Location

  • 560 1ST AVE

    NEW YORK, NY 100166402

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-03-22 • Largest payer in this snapshot: ABBVIE INC. ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$28
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: 2017-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160222001912IPhysician AssistantTXTBD
I20170809004076IPhysician AssistantNYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76036)

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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: 1355232422View full group profile
NameSpecialtyState
-PA
O B S T E T R I C S/ G Y N E C O L O G YNY
Internal MedicineNY
-NY
A N E S T H E S I O L O G YTX
Physical Therapist In Private PracticeNY
A N E S T H E S I O L O G YNY
-NY
-NY
-NY

Reviews

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Frequently asked questions

What NPI should I save for JOANNA MARIE RUCKDESCHELL (PA-C)?
Save NPI 1457720229 if you need a stable reference for JOANNA MARIE RUCKDESCHELL (PA-C).
Does this profile mean JOANNA MARIE RUCKDESCHELL (PA-C) is currently active?
Yes — JOANNA MARIE RUCKDESCHELL (PA-C) appears active in the national provider directory.
Does JOANNA MARIE RUCKDESCHELL (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for JOANNA MARIE RUCKDESCHELL (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place JOANNA MARIE RUCKDESCHELL (PA-C)?
The snapshot lists Crowley, Texas for JOANNA MARIE RUCKDESCHELL (PA-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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