Individual provider Active NPI

Emily Ruckman, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Durango, CO
National Provider Identifier
1720566953
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0997476-NP Issued in CO
Practice address
611 Pleasant Dr
Durango, CO 81301-4146
Phone
(617) 946-8467
NPI assigned
Jul 31, 2018
Last updated
May 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200727000272 NM Practitioner - Nurse Practitioner 5294159018 Reassigns benefits to 1 organization
I20220721003646 WA Practitioner - Nurse Practitioner 5294159018 Reassigns benefits to 1 organization
I20241009001195 CO Practitioner - Nurse Practitioner 5294159018 Reassigns benefits to 1 organization

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
La Plata Family Counseling PLLCGroup PAC ID 1355797911, 5 clinicians
County of GrantGroup PAC ID 7911895867, 4 clinicians

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

LicenseStateTypeSpecialty
APN.0997476-NPCOMDPsychiatric/Mental Health Nurse Practitioner
60024NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grant County Health District CurrentSince Aug 2, 2022 Accepting new patients
San Juan Regional Medical Center Inc Current Accepting new patients
County of Grant CurrentSince Aug 2, 2022 Accepting new patients
La Plata Family Counseling, PLLC Psychiatric/Mental Health CurrentSince Jul 28, 2024 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Jul 14, 2020 Accepting new patients
San Juan Regional Medical Center Inc Psychiatry CurrentSince Jul 14, 2020 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.

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

Verify at the official NPI Registry.