Individual provider Active NPI

Samantha Ruschak

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1285485284
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP029493 Issued in PA
Practice address
7763 Montgomery Rd
Cincinnati, OH 45236-4201
Phone
(513) 891-5438
NPI assigned
Mar 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0038697 OH
Family Nurse Practitioner 363LF0000X SP029493 PA Primary

Addresses

Primary practice location

7763 Montgomery Rd
Cincinnati, OH 45236-4201

Mailing address

6847 Stewart Rd Apt 408
Cincinnati, OH 45236-0717
Phone (724) 972-6679

Other practice location 1

CareFirst Urgent Care
11397 Montgomery Road Suite A2
Cincinnati, OH 45249
Phone (513) 239-6854

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
I20250226003035 OH Practitioner - Nurse Practitioner 4082134697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

7300 Beechmont Ave
Cincinnati, OH 45230-4119
Phone (513) 232-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0038697OHMDFamily Medicine Physician
SP029493PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CG Medical Associates Inc Single Specialty CurrentSince Feb 13, 2025 Accepting new patients

Locations

11397 Montgomery Rd
Ste A-2
Cincinnati, OH 45249
Phone (513) 239-6854

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

Organizations & group practices 1

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": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1285485284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6847 STEWART RD APT 408",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452360717",
            "telephone_number": "724-972-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7763 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452364201",
            "telephone_number": "513-891-5438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CareFirst Urgent Care",
            "address_2": "11397 Montgomery Road Suite A2",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45249",
            "country_code": "US",
            "telephone_number": "513-239-6854",
            "fax_number": "513-247-0362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSCHAK",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "0038697",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.