Individual provider Active NPI

Emily Rose Ruckman

  • Family Nurse Practitioner
  • Silverdale, WA
National Provider Identifier
1649830621
Registry record updated Jan 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
821556 Issued in NV
Practice address
9220 Ridgetop Blvd NW Ste 100
Silverdale, WA 98383-8583
Phone
(775) 233-6664
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 821556 NV Primary

Addresses

Primary practice location

9220 Ridgetop Blvd NW Ste 100
Silverdale, WA 98383-8583

Mailing address

411 W 6TH St
Reno, NV 89503-4415
Phone (775) 770-3000

Other practice location 1

8978 Spanish Ridge Ave Ste 101
Las Vegas, NV 89148-1314
Phone (775) 770-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20220808000537 WA Practitioner - Nurse Practitioner 0446582266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

215 Whitesell St NW
Suite B113
Orting, WA 98360-9363
Phone (253) 697-3080

345 Cooper Point Rd NW
Suite 103
Olympia, WA 98502-4461
Phone (360) 763-7515

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

5058 Main St
Suite 100
Tacoma, WA 98407-3148
Phone (253) 533-6770

5314 176TH St E
A
Tacoma, WA 98446-7507
Phone (253) 875-7630

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Mary's Medical Group Inc CurrentSince Sep 8, 2019 Accepting new patients
Saint Marys Medical Group Inc. CurrentSince Sep 8, 2019 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Jul 25, 2022 Accepting new patients
Multicare Health System CurrentSince May 22, 2025 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Jul 25, 2022 Accepting new patients
Multicare Health System CurrentSince May 22, 2025 Accepting new patients
Multicare Health System Current Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

6255 Sharlands Ave
Reno, NV 89523
Phone (775) 245-6117

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

18653 Wedge Pkwy
Ste 300
Reno, NV 89511
Phone (775) 770-7210

11100 NE 6th St
Bellevue, WA 98004
Phone (206) 350-7345

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: emily.ruckman.p1@direct.smmg.nextgenshare.com

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.

Hospital & facility affiliations 1

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736035200000",
    "number": "1649830621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W 6TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034415",
            "telephone_number": "775-770-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 RIDGETOP BLVD NW STE 100",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838583",
            "telephone_number": "775-233-6664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8978 Spanish Ridge Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891481314",
            "country_code": "US",
            "telephone_number": "775-770-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUCKMAN",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2025-01-05",
        "certification_date": "2025-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "821556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.