Individual provider Active NPI

Joni Lyn Ruffner, NURSE PRACTITIONER

  • Nurse Practitioner
  • Lorain, OH
National Provider Identifier
1245623230
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AG1214053 Issued in OH
Practice address
3600 Kolbe Rd Ste 227
Lorain, OH 44053-1601
Phone
(440) 960-4512
Fax
(440) 960-4513
NPI assigned
Mar 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X AG1214053 OH
Gerontology Clinical Nurse Specialist 364SG0600X AG1214053 OH
Nurse Practitioner 363L00000X AG1214053 OH Primary

Addresses

Primary practice location

3600 Kolbe Rd Ste 227
Lorain, OH 44053-1601

Mailing address

3600 Kolbe Rd Ste 227
Lorain, OH 44053-1601
Phone (440) 960-4512

Other identifiers 1

IdentifierTypeStateIssuer
0130875MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150528000967 OH Practitioner - Nurse Practitioner 2466772744 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG1214053OHMDGerontology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lorain, LLC Nurse Practitioner CurrentSince Jul 24, 2017 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians, Lorain, LLC CurrentSince Jul 24, 2017 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients

Locations

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

3600 Kolbe Rd
Ste 127
Lorain, OH 44053
Phone (440) 414-9200

3600 Kolbe Rd
Ste 227
Lorain, OH 44053
Phone (440) 960-3304

3600 Kolbe Rd
Ste 220
Lorain, OH 44053
Phone (440) 222-2422

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1245623230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD STE 227",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531601",
            "telephone_number": "440-960-4512",
            "fax_number": "440-960-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD STE 227",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531601",
            "telephone_number": "440-960-4512",
            "fax_number": "440-960-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFNER",
        "first_name": "JONI",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-15",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OH",
            "license": "AG1214053",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "OH",
            "license": "AG1214053",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "AG1214053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130875",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.