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

Kaitlyn M Ruckman, NP-C

Individual provider Family Nurse Practitioner · NPI 1306310131

Kaitlyn M Ruckman, NP-C is a Nurse Practitioner in Orland Park, Illinois. Qualified in 2019, 7 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

15300 W Ave
Orland Park, IL 60462-4600
Phone: (708) 932-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 259 E Erie St Ste 1900, Chicago, IL 60611-3246 — (312) 695-7950

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209019135 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209019135 (IL)

Record details

NPI number1306310131
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJanuary 15, 2019
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Orland Park