Individual provider Active NPI

Sara C Ruwitch, APN, RXN

  • Psychiatric/Mental Health Nurse Practitioner
  • Longmont, CO
National Provider Identifier
1083882104
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0994422-NP Issued in CO
Practice address
834 S Sherman St
Longmont, CO 80501-6323
Phone
(303) 443-8500
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1616897 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0994422-NP CO Primary

Addresses

Primary practice location

834 S Sherman St
Longmont, CO 80501-6323

Mailing address

834 S Sherman St
Longmont, CO 80501-6323
Phone (303) 443-8500

Other practice location 1

1455 Dixon Ave
Lafayette, CO 80026-8879
Phone (303) 443-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200820001823 CO Practitioner - Nurse Practitioner 8022434059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

4801 Riverbend Rd
Suite 120a
Boulder, CO 80301-2613
Phone (303) 415-4299

Hospital & facility affiliations

  • Boulder Community Health Hospital, Boulder, CO, CCN 060027

Merit-based Incentive Payment System (MIPS)

Final score
92.68 of 100Reported as apm
Quality
90.42
Promoting interoperability
91.56
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1616897COMDRegistered Nurse
APN.0994422-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Community Health CurrentSince Dec 18, 2024 Accepting new patients
Boulder Community Health CurrentSince Dec 18, 2024 Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

4801 Riverbend Rd
Ste 300
Boulder, CO 80301
Phone (303) 415-8621

4801 Riverbend Rd
Ste 120A
Boulder, CO 80301
Phone (303) 415-4299

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 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1083882104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 S SHERMAN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016323",
            "telephone_number": "303-443-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 S SHERMAN ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016323",
            "telephone_number": "303-443-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 Dixon Ave",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800268879",
            "country_code": "US",
            "telephone_number": "303-443-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUWITCH",
        "first_name": "SARA",
        "middle_name": "C",
        "credential": "APN, RXN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2021-10-14",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1616897",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0994422-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.