Kelly A Ruckno, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1629 Issued in SC

Practice address

460 William Hilton Pkwy
Hilton Head, SC 29926-2497

Phone

(843) 738-4800

Fax

(843) 738-4801

NPI assigned

Mar 16, 2007

Last updated

Jan 17, 2023By 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 SC

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Symbios Medical ServicesGroup PAC ID 2860899200, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067
• Novant Health Hilton Head Medical Center Hospital, Hilton Head Island, SC, CCN 420080

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25915/brand/1/csg/1/fhir/r4
• Direct secure messaging: kelly.ruckno.1@25915.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.

• Symbios Medical Services

  • Internal Medicine Physician
  • Hilton Head Island, SC
  • NPI 1083389589
  Medicare reassignment Care Compare group NPD
• The Cypress Club, Inc.

  dba The Cypress Club Clinic

  • Health Service Clinic/Center
  • Hilton Head Island, SC
  • NPI 1710109822
  Medicare reassignment NPD

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

• Beaufort County Memorial Hospital

  • General Acute Care Hospital
  • Beaufort, SC
  • NPI 1366436073
  Care Compare affiliation
• Hilton Head Medical Center LLC

  dba Novant Health Hilton Head Medical Center

  • General Acute Care Hospital
  • Hilton Head Island, SC
  • NPI 1902675101
  Care Compare affiliation

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1073647319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 WILLIAM HILTON PKWY",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262497",
            "telephone_number": "843-738-4800",
            "fax_number": "843-738-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 WILLIAM HILTON PKWY",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262497",
            "telephone_number": "843-738-4800",
            "fax_number": "843-738-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKNO",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "1629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole O Riley, OTR/L
• Madison Clary Robbins, MS, CCC-SLP
• Jenna Elizabeth Roller, PA-C
• Ashley B Romine, PT
• Randy Wayne Rose
• Thomas P Rzeczycki
• Jonathan L Sack, MD
• Isam Awni Sakati, M.D.
• Salerno Pediatric Care LLC
• Peter John Salerno, MD

• Family Nurse Practitioner in Hilton Head, SC
• Providers in Hilton Head, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.