Lynn Ruffolo, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11029990 Issued in FL

Practice address

1750 17TH St Ste G
Sarasota, FL 34234-8666

Phone

(941) 732-6837

Fax

(941) 331-2540

NPI assigned

Mar 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, IL2 enrollments

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.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Step of Sarasota IncGroup PAC ID 9830324169, 7 clinicians

Rockford Psychiatric Medical Services SCGroup PAC ID 6901089515, 154 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lynn.ruffolo.1@25899.direct.athenahealth.com

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.

• Lightshare Behavioral Wellness and Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sarasota, FL
  • NPI 1578551198
  Medicare reassignment Care Compare group NPD
• Rockford Psychiatric Medical Services, S.C.

  • Psychiatry Physician
  • Rockford, IL
  • NPI 1821391442
  Medicare reassignment Care Compare group NPD
• Health & Psychiatrist Consultants LLC

  • Multi-Specialty Clinic/Center
  • Oldsmar, FL
  • NPI 1467696062
  Medicare reassignment NPD
• Lightshare Behavioral Wellness and Recovery

  • Community/Behavioral Health Agency
  • Venice, FL
  • NPI 1710557830
  NPD (past)

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1083471486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 74TH ST N # NA",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106746",
            "telephone_number": "630-926-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 17TH ST STE G",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342348666",
            "telephone_number": "941-732-6837",
            "fax_number": "941-331-2540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "959 S Waukegan Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600452654",
            "country_code": "US",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUFFOLO",
        "first_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209031409",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11029990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rudhra LLC (University Pharmacy)
• Alan T Rudolph, MD
• Connie Jayne Rudolph, CNM
• Dennis Dean Rudolph, RPH
• Sarah Elizabeth Rudolph, RD
• Katerine Ruiz Arenas
• Cecille M Ruiz, DMD
• Robert D Runk, PA
• Kyle K. Runnels, M.D.
• Lauren H Runnels, MD

• Psychiatric/Mental Health Nurse Practitioner in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.