Individual provider Active NPI

Ruth Joan Ragoro Vodopivc, AGNP-C

  • Primary Care Nurse Practitioner
  • Temple Terrace, FL
National Provider Identifier
1154887362
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN9406881 Issued in FL
Practice address
12470 Telecom Dr Ste 300W
Temple Terrace, FL 33637-0904
Phone
(813) 871-8111
NPI assigned
Feb 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN9406881 FL
Gerontology Nurse Practitioner 363LG0600X APRN9406881 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9406881 FL
Primary Care Nurse Practitioner 363LP2300X APRN9406881 FL Primary

Addresses

Primary practice location

12470 Telecom Dr Ste 300W
Temple Terrace, FL 33637-0904

Mailing address

27380 Bonterra Loop Apt 406
Wesley Chapel, FL 33544-5158
Phone (734) 516-3871

Other practice location 1

27380 Bonterra Loop Apt 406
Wesley Chapel, FL 33544-5158
Phone (734) 516-3871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260319001064 FL Practitioner - Nurse Practitioner 9931438231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12470 Telecom Dr
Suite 301
Temple Terrace, FL 33637-0904

6807 Rowan Rd
New Port Richey, FL 34653-2952

Hospital & facility affiliations

  • HPH Hospice Hospice, Brooksville, FL, CCN 101511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9406881FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hernando-Pasco Hospice, Inc. CurrentSince Feb 10, 2026 Accepting new patients
Hernando-Pasco Hospice, Inc. CurrentSince Feb 10, 2026 Accepting new patients

Locations

6807 Rowan Rd
New Port Richey, FL 34653
Phone (727) 817-1804

12470 Telecom Dr
Ste 300W
Temple Terrace, FL 33637
Phone (813) 871-8183

Organizations & group practices 2

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": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1154887362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27380 BONTERRA LOOP APT 406",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335445158",
            "telephone_number": "734-516-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12470 TELECOM DR STE 300W",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370904",
            "telephone_number": "813-871-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27380 Bonterra Loop Apt 406",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335445158",
            "country_code": "US",
            "telephone_number": "734-516-3871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VODOPIVC",
        "first_name": "RUTH JOAN",
        "middle_name": "RAGORO",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9406881",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN9406881",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9406881",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN9406881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.