Active NPI
Jessica L Ruiz, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Austin, TX
National Provider Identifier
1003572207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F1058592
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| F1058592 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marios Pharmacy Inc | Current | Accepting new patients | |
| Flourish Health LLC | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Austin, TX
- NPI 1033959135
-
- Community/Retail Pharmacy
- San Antonio, TX
- NPI 1376564310
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.