NPIMap

Individual provider Active NPI

Anna Lee Ruelle, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Lancaster, NH
National Provider Identifier
1114950748
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0286 Issued in NH
Practice address
173 Middle St
Lancaster, NH 03584-3508
Phone
(603) 788-5029
NPI assigned
Jul 8, 2006
Last updated
Oct 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0286 NH Primary

Addresses

Primary practice location

173 Middle St
Lancaster, NH 03584-3508

Mailing address

590 Court St
Keene, NH 03431-1719
Phone (603) 354-5454

Other practice location 1

590 Court St
Keene, NH 03431-1719
Phone (603) 354-5454

Other identifiers 1

IdentifierTypeStateIssuer
30362898MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721000266 NH Practitioner - Podiatry 5698755726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weeks Medical CenterGroup PAC ID 2769461284, 71 clinicians

Practice addresses (Care Compare)

173 Middle St
Lancaster, NH 03584-3508
Phone (603) 788-4911

8 Clover LN
Whitefield, NH 03598-3343
Phone (603) 837-9005

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0286NHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Weeks Medical Center Current Accepting new patients
Weeks Medical Center CurrentSince Jan 1, 2017 Accepting new patients
Weeks Medical Center Foot & Ankle Surgery Past Accepting new patients
Androscoggin Valley Hospital Inc Past Accepting new patients
Springfield Medical Care Systems Inc. Past Accepting new patients

Locations

173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21546/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1114950748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 COURT ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311719",
            "telephone_number": "603-354-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MIDDLE ST",
            "city": "LANCASTER",
            "state": "NH",
            "postal_code": "035843508",
            "telephone_number": "603-788-5029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Court St",
            "address_purpose": "LOCATION",
            "city": "Keene",
            "state": "NH",
            "postal_code": "034311719",
            "country_code": "US",
            "telephone_number": "603-354-5454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUELLE",
        "first_name": "ANNA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NH",
            "license": "0286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30362898",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, NH

Sources for this page

Verify at the official NPI Registry.