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Kendra M Ruckman, PA-C

Physician Assistant in Melbourne, FL · enumerated 2010.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1942523600

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Registry record

Entity type Individual (Type 1)
Name Kendra M Ruckman
Credential PA-C
Sex Female
Practice address 205 E Nasa Blvd, Melbourne, FL, 32901
Phone (321) 361-5620
Fax (321) 434-3511
Enumeration date Mar 10, 2010
Last updated in NPPES Mar 12, 2020

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 005799 (GA) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA9106918 (FL) Primary

Other identifiers

Identifier Type State Issuer
013210300 Medicaid FL -
Y0E5E Other FL FLORIDA BLUE (BCBS)
GO616Y Other FL FL MEDICARE
P01165565 Other FL FL RR MEDICARE
9284904 Other FL AETNA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Kendra Ruckman?
The National Provider Identifier (NPI) for Kendra Ruckman is 1942523600, a Type 1 (individual) record in the CMS NPPES registry.
Where does Kendra Ruckman practice?
The practice location on file with NPPES is in Melbourne, FL. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-12.