Tasha Rucker, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904227 Issued in MS

Practice address

2372 Us49-E
Sumner, MS 38957

Phone

(662) 375-9310

NPI assigned

Oct 27, 2020

Last updated

Oct 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Miss Regional Medical CenterGroup PAC ID 3173969177, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Greenwood Home health agency, Greenwood, MS, CCN 257131
• Northwest Missississippi Regional Medical Center Hospital, Clarksdale, MS, CCN 250042

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nwmtrucke@yourcarecommunity.org
• Direct secure messaging: tasha.rucker.1@29904.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Miss Regional Medical Center

  dba NWMRMC OPT Clinics

  • Internal Medicine Physician
  • Clarksdale, MS
  • NPI 1598458515
  Medicare reassignment Care Compare group NPD
• Cassidy Bayou Medical Clinic

  • Family Medicine Physician
  • Sumner, MS
  • NPI 1376181990
  NPD
• Delta Health System

  dba Delta Health-Medical Group

  • Internal Medicine Physician
  • Clarksdale, MS
  • NPI 1609464619
  NPD
• Northwest Miss Regional Medical Center

  dba Northwest Mississippi Regional Medical Center

  • Emergency Medicine Physician
  • Clarksdale, MS
  • NPI 1699468686
  NPD
• Northwest Miss Regional Medical Center

  dba NWMRMC - Woman's Clinic

  • Obstetrics & Gynecology Physician
  • Clarksdale, MS
  • NPI 1780423715
  NPD (past)
• Mid-South Imaging & Therapeutics, P.a.

  • Diagnostic Radiology Physician
  • Germantown, TN
  • NPI 1043260763
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Miss Regional Medical Center

  dba Northwest Mississippi Regional Medical Center

  • General Acute Care Hospital
  • Clarksdale, MS
  • NPI 1275217606
  Care Compare affiliation
• Sta-Home Health Agency of Greenwood, Inc.

  dba AccentCare Home Health of Greenwood

  • Home Health Agency
  • Greenwood, MS
  • NPI 1235270588
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1073113304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 CATALPA ST",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386143118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2372 US49-E",
            "city": "SUMNER",
            "state": "MS",
            "postal_code": "38957",
            "telephone_number": "662-375-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "TASHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Dew Criswell, FNP
• Greenwood Leflore Hospital (Sumner Clinic)
• Ewell Spencer Hudson, PHARMACIST
• Mississippi State Department of Health
• Sonja Pennington, CNP
• Sumner Drug Store LLC
• Robert L Tucker, FNP
• W & D Pharmacy Inc (W and D Pharmacy)
• Westside Family Medical Clinic PLLC

• Family Nurse Practitioner in Sumner, MS
• Providers in Sumner, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.

Verify at the official NPI Registry.