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Deactivated NPI 1487130563 Deactivated / Inactive NPI Female Practitioner

Marrissa Irene Rucker

Case Manager/Care Coordinator • Enid, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Marrissa Rucker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 12, 2018
NPI Deactivation Date January 17, 2022
Total Practice Duration ~4 Years of Practice (2018 – 2022)

Professional Overview & Biography Verified Profile Summary

Marrissa Rucker was a registered Case Manager/Care Coordinator practicing in Enid, OK. Throughout an active medical career spanning 4 years, Marrissa Rucker provided care at the practice location at 822 E ASH AVE until profile deactivation on 2022-01-17.

Practice Location & Contact Primary Location

Practice Address

822 E Ash Ave

Enid, OK 737012308

Telephone 5804786460

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Enid, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 6.6 Yrs
Regional Practice Density
94 Specialists

Practicing in Enid, OK (8984 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 17, 2022

Record deactivated on January 17, 2022

NPI Profile Active July 12, 2018

NPI status registered as active in NPPES database

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Updated Practice Location July 12, 2018

Registered at 822 E ASH AVE, ENID, OK 737012308 (Tel: 5804786460)

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Updated Business Mailing Address July 12, 2018

Registered at 822 E ASH AVE, ENID, OK 737012308 (Tel: 5804786460)

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Provider Name / Credentials Updated July 12, 2018

Recorded as MARRISSA RUCKER

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2018

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration July 12, 2018

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: 1487130563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2018
Last Update: July 12, 2018
Deactivation Date: January 17, 2022

Mailing Address

822 E Ash Ave

Enid, OK 737012308

Phone: 5804786460

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.