Active NPI
Emily Ruckman, APN
- Psychiatric/Mental Health Nurse Practitioner
- Durango, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APN.0997476-NP
- Practice address
- 611 Pleasant Dr
Durango, CO 81301-4146 - Phone
- (617) 946-8467
- NPI assigned
- Jul 31, 2018
- Last updated
- May 11, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 60024 | NM | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN.0997476-NP | CO | Primary |
Addresses
Primary practice location
611 Pleasant Dr
Durango, CO 81301-4146
Mailing address
611 Pleasant Dr
Durango, CO 81301-4146
Phone (719) 466-2468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, WA, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
135 Burnett Dr
Unit 4
Durango, CO 81301-7790
Phone (970) 769-0131
840 E Plum St
Moses Lake, WA 98837-1874
Phone (509) 765-9239
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0997476-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
| 60024 | NM | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grant County Health District | Current | Accepting new patients | |
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| County of Grant | Current | Accepting new patients | |
| La Plata Family Counseling, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| San Juan Regional Medical Center Inc | Psychiatry | Current | Accepting new patients |
| Cityview | Past | Accepting new patients |
Locations
135 Burnett Dr
Unit 4
Durango, CO 81301
Phone (970) 769-0131
555 S Schwartz Ave
Farmington, NM 87401
Phone (505) 564-8073
840 E Plum St
Moses Lake, WA 98837
Phone (509) 764-6325
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Durango, CO
- NPI 1700436409
Psychiatric/Mental Health
-
dba SJHP Gastroenterology
- Gastroenterology Physician
- Farmington, NM
- NPI 1639662901
-
- Public Health or Welfare Agency
- Moses Lake, WA
- NPI 1295915247
-
dba SJHP Family Medicine Farmington
- Family Medicine Physician
- Farmington, NM
- NPI 1710589015
-
dba Sjrmc Behavioral Health Services
- Psychiatry Physician
- Farmington, NM
- NPI 1992764112
-
- Assisted Living Facility (Mental Illness)
- Moses Lake, WA
- NPI 1952668808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1720566953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 PLEASANT DR",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014146",
"telephone_number": "719-466-2468",
"fax_number": "719-466-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 PLEASANT DR",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014146",
"telephone_number": "617-946-8467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKMAN",
"first_name": "EMILY",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-31",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NM",
"license": "60024",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "APN.0997476-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.