Diane L Ruckert, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R115108 Issued in MD

Practice address

400 W 7TH St
Frederick, MD 21701

Phone

(240) 566-3031

Fax

(240) 439-8910

NPI assigned

Jun 8, 2006

Last updated

Jul 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Nurse Practitioner

Education

University of Maryland School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Frederick Health Medical Group LLCGroup PAC ID 9931341096, 200 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Frederick Health Hospice Hospice, Frederick, MD, CCN 211516
• Frederick Health Hospital Hospital, Frederick, MD, CCN 210005

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Frederick Health Medical Group LLC

  dba Frederick Health Medical Group

  • Family Medicine Physician
  • Frederick, MD
  • NPI 1619258225
  Medicare reassignment Care Compare group NPD
• Frederick Health Medical Group LLC

  • Family Medicine Physician
  • Mount Airy, MD
  • NPI 1114771862
  NPD
• Frederick Health Medical Group LLC

  dba Frederick Health Urgent Care

  • Urgent Care Clinic/Center
  • Frederick, MD
  • NPI 1447528013
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• Frederick Health Hospital Inc

  dba Frederick Health Hospice

  • Community Based Hospice Care Agency
  • Frederick, MD
  • NPI 1205832268
  Care Compare affiliation
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  Care Compare affiliation

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1720028673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37086",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973086",
            "telephone_number": "240-439-8913",
            "fax_number": "240-439-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "240-566-3031",
            "fax_number": "240-439-8910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 Trail Ave",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014942",
            "country_code": "US",
            "telephone_number": "240-566-3030",
            "fax_number": "240-566-3040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "516 Trail Ave",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014942",
            "country_code": "US",
            "telephone_number": "240-566-3030",
            "fax_number": "240-566-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUCKERT",
        "first_name": "DIANE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R115108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Sass Rubin, M.D.
• Hope Rubin, LGPC
• Mamie S. Ruble, N.P.
• Amanda Hunter Ruch, AGPCNP-BC
• Jenna Marie Rucker, L. AC
• Abby Rudesill, PT
• Ariana Ruetten, LMSW
• Mariah Gladys Ruffin, LMSW
• Joseph Nathaniel Ruhala, D.O.
• Chhiar Ruma, FNP

• Adult Health Nurse Practitioner in Frederick, MD
• Providers in Frederick, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.

Verify at the official NPI Registry.