Individual provider Active NPI

Lisa Noelle Ruckman, M.D.

  • Hospitalist Physician
  • Saint Joseph, MO
National Provider Identifier
1538480660
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2025040342 Issued in MO
Practice address
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone
(816) 271-6406
Fax
(816) 271-7986
NPI assigned
Jun 11, 2010
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41495 IA
Hospitalist Physician 208M00000X 2025040342 MO Primary

Addresses

Primary practice location

5325 Faraon St
Saint Joseph, MO 64506-3488

Mailing address

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-6406

Other practice location 1

1229 C Ave E
Oskaloosa, IA 52577-4246
Phone (641) 672-3360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140224001981 IA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 9436389103 Reassigns benefits to 6 organizations
I20251117001520 MO Practitioner - HospitalistPractitioner - Family Practice 9436389103 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Kansas School of Med (KC/Wich/Sal), 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mahaska County HospitalGroup PAC ID 2769388677, shared by 6 NPIs, 128 clinicians
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

1229 C Ave E
Oskaloosa, IA 52577-4298

5202 Faraon St
Suite a
Saint Joseph, MO 64506-3840
Phone (816) 271-1067

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

901 Heartland Rd
Saint Joseph, MO 64506-6201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41495IAMDFamily Medicine Physician
2025040342MOMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Northwest Medical Center Association Inc CurrentSince Nov 10, 2025 Accepting new patients
Mosaic Medical Center - Maryville Family Medicine CurrentSince Nov 10, 2025 Accepting new patients
Mahaska County Hospital Current Accepting new patients
Sumner Community Club Current Accepting new patients
Mahaska County Hospital Family Medicine CurrentSince Jan 27, 2014 Accepting new patients
Northwest Medical Center Association Inc Family Medicine CurrentSince Nov 10, 2025 Accepting new patients
Mosaic Medical Center - Maryville CurrentSince Nov 10, 2025 Accepting new patients
Heartland Regional Medical Center Family Medicine Current Accepting new patients
Heartland Regional Medical Center CurrentSince Nov 10, 2025 Accepting new patients
Central Community Hospital CurrentSince Jun 1, 2021 Accepting new patients
Mahaska County Hospital CurrentSince Jan 27, 2014 Accepting new patients
Sumner Community Club Family Medicine CurrentSince Nov 12, 2021 Accepting new patients
Sumner Community Club Family Medicine CurrentSince Nov 12, 2021 Accepting new patients
Heartland Regional Medical Center CurrentSince Nov 10, 2025 Accepting new patients
Central Community Hospital CurrentSince Jun 1, 2021 Accepting new patients
Heartland Regional Medical Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

901 Davidson St NW
Elkader, IA 52043
Phone (563) 245-7000

1229 C Ave E
Oskaloosa, IA 52577
Phone (641) 672-3100

201 Trueblood Ave
Oskaloosa, IA 52577
Phone (641) 672-3360

909 W 1st St
Sumner, IA 50674
Phone (563) 578-3275

705 N College St
Albany, MO 64402
Phone (660) 726-3941

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1395

Interoperability endpoints

  • Direct secure messaging: lruckman781089@direct.unitypoint.org

Organizations & group practices 18

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 18

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1538480660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063488",
            "telephone_number": "816-271-6406",
            "fax_number": "816-271-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063488",
            "telephone_number": "816-271-6406",
            "fax_number": "816-271-7986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 C Ave E",
            "address_purpose": "LOCATION",
            "city": "Oskaloosa",
            "state": "IA",
            "postal_code": "525774246",
            "country_code": "US",
            "telephone_number": "641-672-3360",
            "fax_number": "641-672-3466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUCKMAN",
        "first_name": "LISA",
        "middle_name": "NOELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "41495",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2025040342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.