Individual provider Active NPI

Ruth Ellen Dwyer, FNP

  • Family Nurse Practitioner
  • Martinsville, IN
National Provider Identifier
1184850562
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28124397A Issued in IN
Practice address
1949 Hospital Dr
Martinsville, IN 46151-1861
Phone
(765) 342-8383
NPI assigned
May 31, 2009
Last updated
Dec 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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 28124397A IN Primary

Addresses

Primary practice location

1949 Hospital Dr
Martinsville, IN 46151-1861

Mailing address

PO Box 1557
Martinsville, IN 46151-0557
Phone (765) 342-8383

Other identifiers 1

IdentifierTypeStateIssuer
200971330MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RDWYER@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20111220000788 IN Practitioner - Nurse Practitioner 5193991248 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Ave
Indianapolis, IN 46202-5306
Phone (317) 962-2000

2209 John R Wooden Dr
Indiana University So in Phy Inc
Martinsville, IN 46151-1840
Phone (888) 484-3258

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28124397AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Southern Indiana Physicians, LLC CurrentSince Dec 15, 2020 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Dec 15, 2020 Accepting new patients
Iu Health Medical Group, LLC Family CurrentSince Jan 1, 2026 Accepting new patients
Iu Health Morgan Physicians, LLC Family CurrentSince Jan 1, 2013 Accepting new patients
Morgan Health Services, Inc Family Past Accepting new patients
Morgan Physician Specialists, LLC Past Accepting new patients

Locations

2738 Solution Ctr
Chicago, IL 60677

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

1701 N Senate Ave
Indianapolis, IN 46202
Phone (317) 929-8447

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1949 Hospital Dr
Martinsville, IN 46151
Phone (765) 342-8383

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

Interoperability endpoints

  • Direct secure messaging: rdwyer@direct.iuhealth.org

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 3

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": "1243728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1184850562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1557",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461510557",
            "telephone_number": "765-342-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 HOSPITAL DR",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511861",
            "telephone_number": "765-342-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "RUTH",
        "middle_name": "ELLEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-31",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28124397A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200971330",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RDWYER@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1949 Hospital Dr",
            "city": "Martinsville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461511861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsville, IN

Sources for this page

Verify at the official NPI Registry.