Individual provider Active NPI

Ann Bosley Ruge, CNM

  • Women's Health Clinical Nurse Specialist
  • Las Vegas, NM
National Provider Identifier
1295977759
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Clinical Nurse SpecialistTaxonomy code 364SW0102X
License
581 Issued in NM
Practice address
1235 Eighth St.
Las Vegas, NM 87701-4219
Phone
(505) 425-6788
Fax
(505) 425-5408
NPI assigned
Mar 30, 2009
Last updated
Jul 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R66780 NM
Women's Health Clinical Nurse Specialist 364SW0102X 581 NM Primary

Addresses

Primary practice location

1235 Eighth St.
Las Vegas, NM 87701-4219

Mailing address

PO Box 158
538 N. Paseo de Onate
Espanola, NM 87532-0158
Phone (505) 753-7218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100525000025 NM Practitioner - Certified Nurse Midwife (CNM) 3678602026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Yale University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Centro Family HealthGroup PAC ID 9830080688, 31 clinicians

Practice addresses (Care Compare)

1235 8TH St
Las Vegas, NM 87701-4219
Phone (505) 425-6788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
R66780NMMDRegistered Nurse
581NMMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro Family Health CurrentSince Feb 24, 2010 Accepting new patients
El Centro Family Health Past Accepting new patients
El Centro Family Health Past Accepting new patients

Locations

111 N Railroad Ave
Espanola, NM 87532
Phone (505) 753-7218

538 N Paseo de Onate
Espanola, NM 87532
Phone (505) 753-7218

1024 S Pacific St
Las Vegas, NM 87701
Phone (505) 426-2564

1235 8th St
Las Vegas, NM 87701
Phone (505) 425-6751

1236 5th St
Las Vegas, NM 87701
Phone (505) 429-2548

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1295977759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "address_2": "538 N. PASEO DE ONATE",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875320158",
            "telephone_number": "505-753-7218",
            "fax_number": "505-753-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 EIGHTH ST.",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014219",
            "telephone_number": "505-425-6788",
            "fax_number": "505-425-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGE",
        "first_name": "ANN",
        "middle_name": "BOSLEY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "R66780",
            "primary": false
        },
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "NM",
            "license": "581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

Verify at the official NPI Registry.