Individual provider Active NPI

Chaunce Ruff, PA-C

  • Medical Physician Assistant
  • Richland, WA
National Provider Identifier
1225113186
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA10005108 Issued in WA
Practice address
969 Stevens Dr Ste 3a
Richland, WA 99352-3558
Phone
(509) 713-1315
Fax
(877) 673-0795
NPI assigned
Oct 26, 2006
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10005108 WA Primary

Addresses

Primary practice location

969 Stevens Dr Ste 3a
Richland, WA 99352-3558

Mailing address

969 Stevens Dr Ste 3a
Richland, WA 99352-3558
Phone (509) 713-1315

Other identifiers 2

IdentifierTypeStateIssuer
8476830MedicaidWA
0214583OtherWALABOR & INDUSTRIES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20061228000218 WA Practitioner - Physician Assistant 9032119995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physicians Immediate Care and Medical Centers PSGroup PAC ID 7618865775, 19 clinicians
Disruption Healthcare PLLCGroup PAC ID 4486007705, 7 clinicians

Practice addresses (Care Compare)

1215 George Washington Way
Richland, WA 99352-3411
Phone (509) 946-1695

1516 Jadwin Ave
Richland, WA 99354-2902
Phone (509) 946-1695

969 Stevens Dr
Suite 3a
Richland, WA 99352-3558
Phone 50971313151047

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10005108WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Disruption Healthcare PLLC CurrentSince Feb 23, 2026 Accepting new patients
Northwest Healthcare and Wellness Center, PLLC Past Accepting new patients
Kadlec Regional Medical Center Past Accepting new patients

Locations

969 Stevens Dr
Ste 3A
Richland, WA 99352
Phone (509) 713-1315

Organizations & group practices 4

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 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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1225113186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 STEVENS DR STE 3A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523558",
            "telephone_number": "509-713-1315",
            "fax_number": "877-673-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 STEVENS DR STE 3A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523558",
            "telephone_number": "509-713-1315",
            "fax_number": "877-673-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFF",
        "first_name": "CHAUNCE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10005108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8476830",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0214583",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.