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

Michael P. Rucker, CRNA

Individual provider Registered Nurse · NPI 1972862779

Michael P. Rucker, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Pueblo, Colorado. Qualified in 2012, 14 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Arkansas and Colorado.

Years since qualifying
14
Licensed in
AR, CO
In the registry since
2012
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1218 N Main St
Pueblo, CO 81003-2828
Phone: (719) 543-7877
Fax: (719) 543-7882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APN.0991504 (CO)
Registered Nurse Taxonomy 163W00000X · Licence RN#R79369 (AR)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence CRNA#CTP-00203 (AR)

Record details

NPI number1972862779
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 14, 2012
Last updated in NPPESApril 28, 2017
Mailing address1218 N Main St, Pueblo, CO 81003-2828

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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