Jenifer Alise Ruffin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA08519 Issued in TX

Practice address

4407 Bee Caves Road Building 1, Suite 112
Austin, TX 78746

Phone

(512) 328-4999

NPI assigned

Jul 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jenifer Alise Arnel Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Texas Health Virtual Care

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1942951199

  Physician Assistant

  Medicare reassignment NPD
• Austin Association of Otolaryngologists

  • Specialist
  • Austin, TX
  • NPI 1689869463
  Medicare reassignment
• Austin Kidney Associates PA

  • Nephrology Physician
  • Austin, TX
  • NPI 1154669331
  NPD (past)

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1023459104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES ROAD BUILDING 1, SUITE 112",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-328-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES ROAD BUILDING 1, SUITE 112",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-328-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFIN",
        "first_name": "JENIFER",
        "middle_name": "ALISE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENIFER",
            "last_name": "ARNEL",
            "middle_name": "ALISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Katie Rueter Ries, M.ED., BCBA
• Shannon Rene Rueter, LCSW
• Peter Anthony Ruff, MD
• Shelly R. Ruff, CRNA
• Tibor Ruff, M.D.
• Jermaine Ruffin
• Brittany Sue Ruge, LMSW
• John Kelly Rugeley, DDS
• Priscila Ruiz Rivera, MS, RD, LD
• Adriana Ruiz, LPC

• Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.