Individual provider Active NPI

Jennifer Lynn Rucker, F.N.P.

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1205887205
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP124773 Issued in TX
Practice address
3920 W Wheatland Rd
Suite 134
Dallas, TX 75237-3401
Phone
(214) 941-3192
Fax
(877) 959-4622
NPI assigned
May 14, 2006
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP124773 TX Primary
Nurse Practitioner 363L00000X 846819 TX
Nurse Practitioner 363L00000X 15826-33 WI
Nurse Practitioner 363L00000X 041316565 IL
Family Nurse Practitioner 363LF0000X 209010913 IL
Registered Nurse 163W00000X 119713-030 WI

Addresses

Primary practice location

3920 W Wheatland Rd
Suite 134
Dallas, TX 75237-3401

Mailing address

3920 W Wheatland Rd
Suite 134
Dallas, TX 75237-3401
Phone (214) 941-3192

Other identifiers 1

IdentifierTypeStateIssuer
39990700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140721000389 TX Practitioner - Nurse Practitioner 5496971863 Reassigns benefits to 2 organizations
I20251015002959 WI Practitioner - Nurse Practitioner 5496971863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

215 N 35TH St
Milwaukee, WI 53208-4106
Phone (414) 931-7600

8514 W Brown Deer Rd
Milwaukee, WI 53224-2113
Phone (414) 800-0014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
119713-030WIMDRegistered Nurse
041316565ILMDNurse Practitioner
AP124773TXMDNurse Practitioner
15826-33WIMDNurse Practitioner
209010913ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Pain Relief Group PLLC Current Accepting new patients
TMC Provider Group PLLC CurrentSince Mar 6, 2024 Accepting new patients
TMC Provider Group PLLC Current Accepting new patients
Citra Physician Services PLLC CurrentSince Oct 1, 2022 Accepting new patients
TMC Provider Group PLLC CurrentSince Mar 6, 2024 Accepting new patients
Texas Pain Relief Group PLLC Family CurrentSince Jan 31, 2018 Accepting new patients
Summit Emergency Medicine, PLLC Current Accepting new patients
American Current Care PA Current Accepting new patients
Texas Pain Relief Group, PLLC CurrentSince Jan 31, 2018 Accepting new patients
American Current Care P.a. CurrentSince Oct 3, 2025 Accepting new patients
American Current Care PA Current Accepting new patients
Citra Physician Services PLLC CurrentSince Oct 1, 2022 Accepting new patients
Oakwood Medical Services, PLLC Past Accepting new patients

Locations

18101 Preston Rd
Ste 201
Dallas, TX 75252
Phone (972) 533-8556

3414 Milton Ave
Dallas, TX 75205
Phone (214) 368-4822

6176 Retail Rd
Ste 400
Dallas, TX 75231
Phone (214) 977-6798

7515 Greenville Ave
Ste 900
Dallas, TX 75231
Phone (214) 206-1447

726 S Cockrell Hill Rd
Duncanville, TX 75137
Phone (972) 298-2427

2501 W 7th St
Ste 101
Ft Worth, TX 76107
Phone (817) 268-9690

1717 Precinct Line Rd
Ste 200
Hurst, TX 76054
Phone (817) 369-3990

606 Grapevine Hwy
Ste B
Hurst, TX 76054
Phone (682) 477-3087

211 E FM 544
Ste 401
Murphy, TX 75094
Phone (972) 200-3199

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

2455 N 124th St
Brookfield, WI 53005
Phone (262) 782-9326

358 Junction Rd
Madison, WI 53717
Phone (608) 829-1888

215 N 35th St
Milwaukee, WI 53208
Phone (414) 931-7600

Interoperability endpoints

  • Direct secure messaging: jennifer.rucker@ppoa.directbygreenway.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1147564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1205887205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 W WHEATLAND RD",
            "address_2": "SUITE 134",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373401",
            "telephone_number": "214-941-3192",
            "fax_number": "877-959-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 W WHEATLAND RD",
            "address_2": "SUITE 134",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373401",
            "telephone_number": "214-941-3192",
            "fax_number": "877-959-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-14",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP124773",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "846819",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "15826-33",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "041316565",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010913",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "119713-030",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39990700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.