Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Henry McKinley Rucker

Individual provider Family Nurse Practitioner · NPI 1407392855

Henry McKinley Rucker is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2015, 11 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
11
Licensed in
NV
In the registry since
2017
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Practice location Address checks out

4580 S Eastern Ave Ste 29
Las Vegas, NV 89119-6100
Phone: (702) 954-4915
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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 APRN002241 (NV)

Record details

NPI number1407392855
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 10, 2017
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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