Active NPI
Kalen Rucker, CNM
- Advanced Practice Midwife
- Jacksonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 811
- Practice address
- 245 Memorial Dr
Jacksonville, NC 28546-6333 - Phone
- (910) 353-4333
- Fax
- (910) 353-2108
- NPI assigned
- Oct 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 811 | NC | Primary |
Addresses
Primary practice location
245 Memorial Dr
Jacksonville, NC 28546-6333
Mailing address
245 Memorial Dr
Jacksonville, NC 28546-6333
Phone (910) 353-4333
Other practice location 1
2811 McLamb Pl
Goldsboro, NC 27534-1647
Phone (919) 587-3980
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krucker712673@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5221 Paramount Pkwy
Suite 220
Morrisville, NC 27560-4704
5221 Paramount Pkwy
Suite 220
Morrisville, NC 27560-5490
777 Lowndes Hill Rd
BLDG 1
Greenville, SC 29607-2131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 811 | NC | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Obhg North Carolina, P.C. | Current | Accepting new patients | |
| Womens Healthcare Associates PA | Past | Accepting new patients |
Locations
1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
2811 McLamb Pl
Goldsboro, NC 27534
Phone (919) 587-3980
2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199
Interoperability endpoints
- krucker712673@direct.unc.nchie.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1124300876
-
- Family Medicine Physician
- Pittsboro, NC
- NPI 1750704367
-
- General Practice Physician
- Morrisville, NC
- NPI 1558786830
-
- Obstetrics & Gynecology Physician
- Jacksonville, NC
- NPI 1043273881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1013633619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 MEMORIAL DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466333",
"telephone_number": "910-353-4333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 MEMORIAL DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466333",
"telephone_number": "910-353-4333",
"fax_number": "910-353-2108"
}
],
"practiceLocations": [
{
"address_1": "2811 McLamb Pl",
"address_purpose": "LOCATION",
"city": "Goldsboro",
"state": "NC",
"postal_code": "275341647",
"country_code": "US",
"telephone_number": "919-587-3980",
"fax_number": "919-587-3981",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUCKER",
"first_name": "KALEN",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-14",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NC",
"license": "811",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "krucker712673@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "2811 McLamb Pl",
"city": "Goldsboro",
"state": "NC",
"country_code": "US",
"postal_code": "275341647",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.