Individual provider Active NPI

Ruby Marie-Northrup, DO

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1063570620
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
233 Issued in NE
Practice address
6041 Village Dr Ste 110
Lincoln, NE 68516-5774
Phone
(402) 484-5656
Fax
(402) 484-5741
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 233 NE
Family Medicine Physician 207Q00000X 233 NE Primary

Addresses

Primary practice location

6041 Village Dr Ste 110
Lincoln, NE 68516-5774

Mailing address

6041 Village Dr Ste 110
Lincoln, NE 68516-5774
Phone (402) 484-5656

Other identifiers 1

IdentifierTypeStateIssuer
47083425413MedicaidNE

Other names 1

  • Ruby Marie Northrup Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100514000458 NE Practitioner - Internal Medicine 5890683742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northrup and Associates PCGroup PAC ID 0345489316, 2 clinicians
Medelite Urgent Care LLCGroup PAC ID 0345696589, 9 clinicians

Practice addresses (Care Compare)

6041 Village Dr
Suite 110
Lincoln, NE 68516-5774
Phone (402) 484-5656

7120 S 69TH St
Suite 101a
Lincoln, NE 68516-3868
Phone (402) 520-8955

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.19 of 100Reported as apm
Quality
88.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Medelite Urgent Care L.L.C. Family Medicine CurrentSince Jan 5, 2025 Accepting new patients
Northrup & Associates PC Family Medicine CurrentSince Jun 3, 2013 Accepting new patients
Medelite Urgent Care L.L.C. Family Medicine CurrentSince Jan 5, 2025 Accepting new patients

Locations

7100 S 69th St
Ste 101
Lincoln, NE 68516
Phone (402) 489-7100

6041 Village Dr
Ste 110
Lincoln, NE 68516
Phone (402) 484-5656

6911 Van Dorn St
Ste 1
Lincoln, NE 68506
Phone (402) 484-5656

7120 S 69th St
Ste 101A
Lincoln, NE 68516
Phone (402) 499-2883

Interoperability endpoints

  • Direct secure messaging: drnorthrup@northrupmed.direct.cgm.us
  • Direct secure messaging: ruby.marie-northrup.1@28242.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1063570620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 VILLAGE DR STE 110",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165774",
            "telephone_number": "402-484-5656",
            "fax_number": "402-484-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 VILLAGE DR STE 110",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165774",
            "telephone_number": "402-484-5656",
            "fax_number": "402-484-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIE-NORTHRUP",
        "first_name": "RUBY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "233",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47083425413",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBY",
            "last_name": "NORTHRUP",
            "middle_name": "MARIE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.