Roxzy R. Ruelle, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

TPA1006 Issued in CA

Practice address

680 Sunrise Ave
Roseville, CA 95661-4110

Phone

(916) 786-4700

Fax

(916) 786-3912

NPI assigned

Oct 22, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL, CA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prohealth Home Care, Inc Home health agency, Sacramento, CA, CCN 059764
• Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
• Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rruelle235821@hpmg.direct-ci.net

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.

• Kelada Physicians Group, Inc

  dba Roseville Family Healthcare

  • Primary Care Clinic/Center
  • Roseville, CA
  • NPI 1437707387
  Medicare reassignment
• Eastern Shore Urgent Care LLC

  • Family Medicine Physician
  • Daphne, AL
  • NPI 1376706275
  Medicare reassignment
• Eastern Shore Urgent Care LLC

  • Urgent Care Clinic/Center
  • Chestertown, MD
  • NPI 1548924988
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prohealth Home Care, Inc

  • Home Health Agency
  • Sacramento, CA
  • NPI 1215375175
  Care Compare affiliation
• Sutter Valley Hospitals

  dba Sutter Roseville Medical Center

  • General Acute Care Hospital
  • Roseville, CA
  • NPI 1356390264
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1205231065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29710 URGENT CARE DR",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269595",
            "telephone_number": "251-626-3782",
            "fax_number": "251-626-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 SUNRISE AVE",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614110",
            "telephone_number": "916-786-4700",
            "fax_number": "916-786-3912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29710 Urgent Care Dr",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365269595",
            "country_code": "US",
            "telephone_number": "251-626-3782 x25162",
            "fax_number": "251-626-0787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUELLE",
        "first_name": "ROXZY",
        "middle_name": "R.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "TPA1006",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "1422",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "512-21005",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raushan Rozenberg
• Shelly Rucker, LCSW
• Nathan Rude, SUDCC II
• Eduard Rudko
• Maksym Rudniev
• Kiersten Kay Rugg, M.ED.
• Carmen Jasmin Crystal Ruiz
• Irielle Angelic Ruiz
• Daniel Rule
• Kristina Elizabeth Rupp, MSW, ACSW

• Physician Assistant in Roseville, CA
• Providers in Roseville, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.