Individual provider Active NPI

Emily Ruthanne Ross, APRN

  • Family Nurse Practitioner
  • Whitley City, KY
National Provider Identifier
1104331016
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011931 Issued in KY
Practice address
69 S Main St
Whitley City, KY 42653-6043
Phone
(606) 310-3314
Fax
(606) 376-7216
NPI assigned
Dec 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3011931 KY Primary

Addresses

Primary practice location

69 S Main St
Whitley City, KY 42653-6043

Mailing address

PO Box 1111
Whitley City, KY 42653-1111
Phone (606) 376-7077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20180104000293 KY Practitioner - Nurse Practitioner 6002174695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

69 S Main St
Whitley City, KY 42653-6043
Phone (606) 310-3314

Hospital & facility affiliations

  • Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ross Family Medical CurrentSince Feb 23, 2023 Accepting new patients

Locations

69 S Main St
Whitley City, KY 42653
Phone (606) 310-3314

Interoperability endpoints

  • Direct secure messaging: emily.ross@572461357989892.direct.elationemr.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ross Family MedicalWhitley City, KY, CCN B03951 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Feb 23, 2023
Feb 23, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 1

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": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1104331016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1111",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "426531111",
            "telephone_number": "606-376-7077",
            "fax_number": "606-376-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 S MAIN ST",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "426536043",
            "telephone_number": "606-310-3314",
            "fax_number": "606-376-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "EMILY",
        "middle_name": "RUTHANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitley City, KY

Sources for this page

Verify at the official NPI Registry.