Active NPI
Rebecca R Rucker, CRNA
- Certified Registered Nurse Anesthetist
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R00026880
- Practice address
- 2720 Sunset Blvd
West Columbia, SC 29169-4810 - Phone
- (803) 791-2000
- NPI assigned
- Jul 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26880 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | R00026880 | SC | Primary |
Addresses
Primary practice location
2720 Sunset Blvd
West Columbia, SC 29169-4810
Mailing address
2720 Sunset Blvd
Att Credentialing
West Columbia, SC 29169-4810
Phone (803) 791-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN0003 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rrucker4231@direct.lexmed.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.09 of 100
- Quality
- 68.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1067 | SC | MD | Clinical Psychologist |
| 26880 | SC | MD | Registered Nurse |
| R00026880 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington Health Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lexington County Health Services District Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Carolina Anesthesiology Associates PA | Past | Accepting new patients | |
| Lexington County Health Services District Inc | Past | Accepting new patients | |
| Carolina Anesthesiology Associates PA | Past | Accepting new patients |
Locations
7035 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 749-0924
811 W Main St
Lexington, SC 29072
811 W Main St
Ste 206
Lexington, SC 29072
Phone (803) 358-6200
811 W Main St
Ste 212
Lexington, SC 29072
Phone (803) 358-6180
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
935 W 2nd St
Swansea, SC 29160
Phone (803) 568-2000
2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- West Columbia, SC
- NPI 1356366314
-
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
-
- Internal Medicine Physician
- West Columbia, SC
- NPI 1942190988
-
- Anesthesiology Physician
- West Columbia, SC
- NPI 1942808159
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Columbia, SC
- NPI 1821589938
-
- Anesthesiology Physician
- Columbia, SC
- NPI 1851486781
-
- Obstetrics & Gynecology Physician
- Lexington, SC
- NPI 1023281789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1144240979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 SUNSET BLVD",
"address_2": "ATT CREDENTIALING",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694810",
"telephone_number": "803-791-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 SUNSET BLVD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694810",
"telephone_number": "803-791-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKER",
"first_name": "REBECCA",
"middle_name": "R",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "26880",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "R00026880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN0003",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rrucker4231@direct.lexmed.com",
"affiliation": "N",
"address_1": "2720 Sunset Blvd",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694810",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.