Individual provider Active NPI

Jessica L Ruiz, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1003572207
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1058592 Issued in TX
Practice address
2501 W William Cannon Dr Ste 207
Austin, TX 78745-5255
Phone
(512) 640-3492
Fax
(833) 973-1247
NPI assigned
Nov 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F1058592 TX Primary

Addresses

Primary practice location

2501 W William Cannon Dr Ste 207
Austin, TX 78745-5255

Mailing address

2501 W William Cannon Dr Ste 207
Austin, TX 78745-5255
Phone (512) 262-4736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 5, 2024 through Aug 5, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F1058592TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marios Pharmacy Inc CurrentSince Jul 1, 2015 Accepting new patients
Flourish Health LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

2501 W William Cannon Dr
Ste 207
Austin, TX 78745
Phone (512) 640-3492

2501 W William Cannon Dr
Ste 201
Austin, TX 78745
Phone (512) 640-3492

Interoperability endpoints

  • Direct secure messaging: jessica.ruiz.1@31474.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1003572207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W WILLIAM CANNON DR STE 207",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455255",
            "telephone_number": "512-262-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W WILLIAM CANNON DR STE 207",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455255",
            "telephone_number": "512-640-3492",
            "fax_number": "833-973-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MSN,  APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F1058592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.