Individual provider Active NPI

Ronelle Lynn Ruppert, APRN

  • Family Nurse Practitioner
  • Norfolk, NE
National Provider Identifier
1194476994
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114202 Issued in NE
Practice address
2700 W Norfolk Ave
Norfolk, NE 68701-4438
Phone
(402) 644-7347
Fax
(402) 644-7539
NPI assigned
Jan 12, 2022
Reactivated
Jul 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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 84203 NE
Family Nurse Practitioner 363LF0000X 114202 NE Primary

Addresses

Primary practice location

2700 W Norfolk Ave
Norfolk, NE 68701-4438

Mailing address

2700 W Norfolk Ave
Norfolk, NE 68701-4438
Phone (402) 644-7347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20220801001211 NE Practitioner - Nurse Practitioner 0648652172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Practice addresses (Care Compare)

2700 W Norfolk Ave
Faith Regional Health Services
Norfolk, NE 68701-4438
Phone (402) 371-4880

Hospital & facility affiliations

  • Faith Health Hospital, Norfolk, NE, CCN 280125

Merit-based Incentive Payment System (MIPS)

Final score
80.77 of 100Reported as group
Quality
67.03
Promoting interoperability
96
Improvement activities
40
Cost
72.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
84203NEMDRegistered Nurse
114202NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Regional Physician Services, LLC CurrentSince Sep 12, 2022 Accepting new patients
Faith Regional Physician Services, LLC CurrentSince Sep 12, 2022 Accepting new patients

Locations

47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150

2700 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 644-7131

2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194

301 N 27th St
Ste 10
Norfolk, NE 68701
Phone (402) 644-7132

Interoperability endpoints

  • Direct secure messaging: rruppert251099@direct.nebraskamed.com

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": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1194476994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014438",
            "telephone_number": "402-644-7347",
            "fax_number": "402-644-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014438",
            "telephone_number": "402-644-7347",
            "fax_number": "402-644-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPPERT",
        "first_name": "RONELLE",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "deactivation_date": "2022-06-07",
        "reactivation_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "84203",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.