Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Andrew Conrad Rucker

Individual provider Family Nurse Practitioner · NPI 1083150015

Andrew Conrad Rucker is a Nurse Practitioner in Kingman, Arizona. Qualified in 2016, 10 years ago. Practices with Innova Emergency Medical Associates PC, a 69-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2017
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Practice location Address checks out

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone: (928) 757-2101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP9899 (AZ)

Record details

NPI number1083150015
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 14, 2017
Last updated in NPPESFebruary 8, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Innova Emergency Medical Associates Pc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients154
Services billed 176 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Innova Emergency Medical Associates PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 69 clinicians in the practice; 12 are shown here.

Other providers in Kingman