Individual provider Active NPI

Ruth Mugo

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1306599733
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2024030942 Issued in MO
Practice address
1201 International Dr
Columbia, MO 65202-1612
Phone
(573) 615-7188
NPI assigned
Jan 26, 2022
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01262300 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2024030942 MO Primary

Addresses

Primary practice location

1201 International Dr
Columbia, MO 65202-1612

Mailing address

1201 International Dr
Columbia, MO 65202-1612
Phone (573) 615-7188

Other practice location 1

551 Veterans United Dr
Columbia, MO 65201-4236
Phone (573) 882-2511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220422001992 NJ Practitioner - Nurse Practitioner 0547657439 Reassigns benefits to 2 organizations
I20250415003280 MO Practitioner - Nurse Practitioner 0547657439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

551 Veterans United Dr
Columbia, MO 65201-8397
Phone (573) 884-7733

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HMH Carrier Behavioral Health Inc CurrentSince Apr 4, 2022 Accepting new patients
The Curators of the University of Missouri CurrentSince Apr 4, 2025 Accepting new patients
HMH Carrier Behavioral Health Inc CurrentSince Apr 4, 2022 Accepting new patients
Curators of the University of Missouri CurrentSince Apr 4, 2025 Accepting new patients
NJ Memory and Behavioral Care CurrentSince Apr 14, 2023 Accepting new patients

Locations

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

3 Hospital Dr
Columbia, MO 65201
Phone (573) 882-8913

551 Veterans United Dr
Columbia, MO 65201
Phone (573) 882-4730

252 Route 601
Belle Mead, NJ 08502
Phone (800) 379-1949

14 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 295-6335

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1306599733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 INTERNATIONAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652021612",
            "telephone_number": "573-615-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 INTERNATIONAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652021612",
            "telephone_number": "573-615-7188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 Veterans United Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652014236",
            "country_code": "US",
            "telephone_number": "573-882-2511",
            "fax_number": "573-884-4515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUGO",
        "first_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01262300",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2024030942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.