Katie Lee Ruiz, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP019123 Issued in PA

Practice address

1 Tech Park Dr Ste 1130
Johnstown, PA 15901-2517

Phone

(814) 475-8760

Fax

(814) 475-8765

NPI assigned

Sep 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Lee Sherry Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

DLP Conemaugh Physician Practices LLCGroup PAC ID 7315166949, 286 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110
• Chan Soon- Shiong Medical Center at Windber Hospital, Windber, PA, CCN 390112
• Conemaugh Miners Medical Center Hospital, Hastings, PA, CCN 391317
• Conemaugh Meyersdale Medical Center Hospital, Meyersdale, PA, CCN 391302
• Upmc Somerset Hospital, Somerset, PA, CCN 390039

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kruiz37196@direct.conemaugh.org

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.

• DLP Conemaugh Physician Practices LLC

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905
  Medicare reassignment Care Compare group NPD
• DLP Conemaugh Physician Practices LLC

  • Internal Medicine Physician
  • Johnstown, PA
  • NPI 1205242609

  Nurse Practitioner

  NPD
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

• DLP Conemaugh Memorial Medical Center LLC

  • General Acute Care Hospital
  • Johnstown, PA
  • NPI 1801897038
  Care Compare affiliation
• DLP Conemaugh Meyersdale Medical Center LLC

  • Critical Access Hospital
  • Meyersdale, PA
  • NPI 1659376358
  Care Compare affiliation
• DLP Conemaugh Miners Medical Center LLC

  • Critical Access Hospital
  • Hastings, PA
  • NPI 1184620486
  Care Compare affiliation
• Upmc Somerset

  • Clinic/Center
  • Somerset, PA
  • NPI 1073692679

  Hospital

  Care Compare affiliation
• Upmc Somerset

  • Psychiatric Hospital Unit
  • Somerset, PA
  • NPI 1558381988
  Care Compare affiliation
• Upmc Somerset

  • General Acute Care Hospital
  • Somerset, PA
  • NPI 1912900168
  Care Compare affiliation
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  Care Compare affiliation

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1295219384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TECH PARK DR STE 1130",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012517",
            "telephone_number": "814-475-8760",
            "fax_number": "814-475-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TECH PARK DR STE 1130",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012517",
            "telephone_number": "814-475-8760",
            "fax_number": "814-475-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "KATIE",
        "middle_name": "LEE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "SHERRY",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nina M Rucosky, R.D.
• Stephen Charles Ruddek, PA-C
• Travis J Rudge, PAC
• Brittney Rugg
• Natalino Vincent Ruggeri, DO
• Robert Link Rundorff, M.D.
• Gemma Elizabeth Rusnak, LSW
• Daniel F Russell, OD
• Kristen Russo
• Barbara Anne Rutledge, PHD

• Nurse Practitioner in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.