Active NPI
Andrew Cowles Rucker, D.O.
- Child & Adolescent Psychiatry Physician
- Longwood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- OS18946
- Practice address
- 555 W State Road 434
Longwood, FL 32750-5119 - Phone
- (407) 262-2220
- Fax
- (407) 834-5011
- NPI assigned
- Apr 9, 2017
- Last updated
- Dec 2, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | OS18946 | FL | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | OS18946 | FL | Primary |
Addresses
Primary practice location
555 W State Road 434
Longwood, FL 32750-5119
Mailing address
555 W State Road 434
Longwood, FL 32750-5119
Phone (407) 262-2220
Other practice location 1
820 Prudential Dr Ste 510
Jacksonville, FL 32207-8207
Phone (904) 376-3800
Other practice location 2
400 E Sheridan Rd
Melbourne, FL 32901-3184
Phone (321) 722-5200
Other practice location 3
3015 N Ocean Blvd Ste C101
Fort Lauderdale, FL 33308-7300
Phone (754) 270-6322
Other practice location 4
8895 N Military Trl Ste 203C
West Palm Beach, FL 33410-6261
Phone (754) 270-6322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114552600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3015 N Ocean Blvd
Suite C101
Fort Lauderdale, FL 33308-7300
Phone (754) 270-6322
555 W State Rd
Suite 434
Longwood, FL 32750-5119
Phone (407) 237-6377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Circles of Care, Inc. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Circles of Care, Inc. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Top Flight Psychiatry | Psychiatry | Current | Accepting new patients |
| One Stop Medicine Inc | Current | Accepting new patients | |
| One Stop Psychiatry LLC | Current | Accepting new patients | |
| Youth Crisis Center, Inc. | Past | Accepting new patients |
Locations
3015 N Ocean Blvd
Ste C101
Fort Lauderdale, FL 33308
Phone (754) 241-1087
555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200
400 Sheridan Rd
Melbourne, FL 32901
Phone (321) 722-5273
4450 W Eau Gallie Blvd
Melbourne, FL 32934
Phone (321) 255-6627
8910 Miramar Pkwy
Ste 309G
Miramar, FL 33025
Phone (305) 305-2326
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
2572 W State Road 426
Ste 2040
Oviedo, FL 32765
Phone (386) 479-1052
8895 N Military Trl
Ste 203C
West Palm Beach, FL 33410
Phone (754) 270-6322
Networks
- Freedom Health HMO Network
Organizations & group practices 8
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fort Lauderdale, FL
- NPI 1952056780
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Melbourne, FL
- NPI 1215345954
-
- Psychiatry Physician
- Cedar Key, FL
- NPI 1790405413
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockledge, FL
- NPI 1609989490
-
- Family Medicine Physician
- Fort Lauderdale, FL
- NPI 1841034733
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Community/Behavioral Health Agency
- Jacksonville, FL
- NPI 1770884686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1265965933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 W STATE ROAD 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327505119",
"telephone_number": "407-262-2220",
"fax_number": "407-834-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 W STATE ROAD 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327505119",
"telephone_number": "407-262-2220",
"fax_number": "407-834-5011"
}
],
"practiceLocations": [
{
"address_1": "820 Prudential Dr Ste 510",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322078207",
"country_code": "US",
"telephone_number": "904-376-3800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 E Sheridan Rd",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013184",
"country_code": "US",
"telephone_number": "321-722-5200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3015 N Ocean Blvd Ste C101",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333087300",
"country_code": "US",
"telephone_number": "754-270-6322",
"fax_number": "754-270-6321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8895 N Military Trl Ste 203C",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334106261",
"country_code": "US",
"telephone_number": "754-270-6322",
"fax_number": "754-270-6321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUCKER",
"first_name": "ANDREW",
"middle_name": "COWLES",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-09",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "OS18946",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "OS18946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114552600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
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.