Ann Bosley Ruge, CNM
Individual provider Active NPI Women's Health Clinical Nurse Specialist · Las Vegas, NM
NPI 1295977759 · NPPES record last updated Jul 1, 2013
Key facts
- NPI
- 1295977759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Clinical Nurse Specialist 364SW0102X
- License
- 581 (NM)
- Practice address
- 1235 Eighth St.
Las Vegas, NM 87701-4219 - Phone
- (505) 425-6788
- Fax
- (505) 425-5408
- NPI assigned
- Mar 30, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Medicare Care Compare profile
- 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 Health
Practice addresses (Care Compare)
1235 8TH St
Las Vegas, NM 87701-4219
Phone (505) 425-6788
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100525000025 | NM | Practitioner - Certified Nurse Midwife (CNM) | 3678602026 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R66780 | NM | MD | Registered Nurse |
| 581 | NM | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Centro Family Health | Current |
Accepting new patients | |
| El Centro Family Health | Past | Accepting new patients | |
| El Centro Family Health | Past | Accepting new patients |
Locations
538 N Paseo de Onate
Espanola, NM 87532
Phone (505) 753-7218
111 N Railroad Ave
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R66780 | NM | |
| Women's Health Clinical Nurse Specialist | 364SW0102X | 581 | NM | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68058845 | Medicaid | NM | |
| NM400322 | Other | NM | MEDICARE PTAN |
Other providers in Las Vegas, NM
- Stacy Jo Romero
- Casimiro Romo
- Consuelo Roper
- Pierre-Yves Rouzaud
- Deanna L Roybal
- Chris B. Ruge
- Monica Ruiz-Marquez
- Rural Surgical Associates of Las Vegas LLC
- Gerald Lee Russell
- Robert F. Rutschman
All providers in Las Vegas, NM · Women's Health Clinical Nurse Specialist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.