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Active NPI 1467609784 Individual Practitioner Female Practitioner

Edla J Rucker , NP

Nurse Practitioner • Great Falls, MT

Professional Overview & Biography Verified Profile Summary

Edla Rucker, NP is a registered healthcare professional specializing in Nurse Practitioner in Great Falls, MT. Practice services are available at 405 3RD ST NW STE 102&103 under active NPI credentials.

Frequently performed procedures and clinical services include hemoglobin a1c level, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

405 3rd St Nw Ste 102&103

Great Falls, MT 594044111

Telephone 4064302035
Associated Practice Facility / Clinic
🏢 Greater Good Health Pc Inc Facility NPI 1386321354

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Great Falls, MT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
25 Specialists

Practicing in Great Falls, MT (290 Statewide)

Telehealth Adoption Rate
28.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
33 29 $56.72 $9.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
27 12 $449.16 $107.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
21 21 $466.69 $140.05
36415 Insertion of needle into vein for collection of blood sample
13 11 $30.00 $8.65

Medical Specialties & State Licenses

CMS Verified: 2024-12-11
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MT NURAPRNLIC235271

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License NM CNP-03224

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License OH 10100

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3810017550 (WV)
Medicaid State Provider ID
WV1240A (WV)
Medicaid State Provider ID
2943499 (OH)
Commercial Insurance / Payer ID Railroad Medicare
P01046643 (OH)

Secondary Practice Locations

530 De Moss St

Lordsburg, NM 880452617

Phone: 5755428384

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Elizabeth Wiener , APRN, FNP-C

Nurse Practitioner - Family

NPI 1346639192

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Janelle Sunvold-Palmer , CNP

Nurse Practitioner - Family

NPI 1508826082

Certified Nurse Practitioner

Miranda Meunier , NP

Nurse Practitioner - Gerontology

NPI 1588838213

Nurse Practitioner

Tandra Schmid , ANP

Nurse Practitioner - Adult Health

NPI 1598056087

Adult Nurse Practitioner

Lindsay Kindelman-Lande , FNP-BC

Nurse Practitioner - Family

NPI 1689003691

Family Nurse Practitioner (Board Certified)

Christine Chaloux , FNP

Nurse Practitioner - Family

NPI 1841648599

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2024

Nurse Practitioner (License #NURAPRNLIC235271 in MT)

📍
Updated Practice Location September 05, 2024

Registered at 405 3RD ST NW STE 102&103, GREAT FALLS, MT 594044111 (Tel: 4064302035)

📍
Updated Business Mailing Address September 05, 2024

Registered at 405 3RD ST NW STE 102&103, GREAT FALLS, MT 594044111 (Tel: 4064302035)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2024

Nurse Practitioner (License #10100 in OH)

📍
Updated Practice Location April 06, 2021

Registered at 530 DE MOSS ST, LORDSBURG, NM 880452617 (Tel: 5755428384)

📍
Updated Business Mailing Address April 06, 2021

Registered at 530 DE MOSS ST, LORDSBURG, NM 880452617 (Tel: 5755422369)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2021

Nurse Practitioner (License #CNP-03224 in NM)

NPI Profile Active August 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2015

Registered at 1400 BRANDYWINE BLVD, ZANESVILLE, OH 437011083 (Tel: 7404509000)

📍
Updated Business Mailing Address August 19, 2015

Registered at PO BOX 8132, ZANESVILLE, OH 437028132 (Tel: 7404509000)

👤
Provider Name / Credentials Updated August 19, 2015

Recorded as EDLA RUCKER, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2015

Nurse Practitioner (License #10100 in OH)

🟢
Initial NPI Registration & Enumeration August 19, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467609784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2008
Last Update: December 11, 2024
Sole Proprietor: No

Mailing Address

405 3rd St Nw Ste 102&103

Great Falls, MT 594044111

Phone: 4064302035

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.