Jennifer R Rucker, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2024009820 Issued in MO

Practice address

100 SE Moreland School Rd
Blue Springs, MO 64014-5037

Phone

(816) 935-6072

NPI assigned

Apr 8, 2024

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 MO

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

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiorenal Vision of Missouri LLCGroup PAC ID 4789188442, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Cardiorenal Vision of Missouri LLC

  • Cardiovascular Disease Physician
  • Kansas City, MO
  • NPI 1285529289
  Medicare reassignment Care Compare group
• Revitalize Health Solutions

  • Clinic/Center
  • Lees Summit, MO
  • NPI 1811846678
  NPD Authorized official

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1780437178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SE MORELAND SCHOOL RD",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640145037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SE MORELAND SCHOOL RD",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640145037",
            "telephone_number": "816-935-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2024009820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lolita Michele Rowe Gibson
• Anthony D Rowell
• Ha Huynh Rowland, DDS
• Lila Rozell, PLPC
• Brittany Rubin, PTA
• Jamie S Russell, SLP
• Rustici Wellness Center
• Wade Rustici, D.C.
• Brenda Rae Rutherford, CRNA
• Amelia Noreen Ryan, PTA

• Nurse Practitioner in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.

Verify at the official NPI Registry.