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

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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