Individual provider Active NPI

Kirstin Cayce Ruiz, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1386203842
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141813 Issued in TX
Practice address
4115 E Lancaster Ave
Fort Worth, TX 76103-3614
Phone
(817) 796-7370
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP141813 TX Primary

Addresses

Primary practice location

4115 E Lancaster Ave
Fort Worth, TX 76103-3614

Mailing address

1318A W Main St
Lewisville, TX 75067-3326
Phone (214) 222-0781

Other practice location 1

1318A W Main St
Lewisville, TX 75067-3326
Phone (214) 222-0781

Other practice location 2

2850 S Main St Ste 104
High Point, NC 27263-1900
Phone (336) 200-7003

Other names 1

  • Kirstin Ariel Cayce Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 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
I20200424001305 TX Practitioner - Nurse Practitioner 0446680953 Reassigns benefits to 1 organization
I20240425001453 NC Practitioner - Nurse Practitioner 0446680953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

Practice addresses (Care Compare)

2850 S Main St
Suite 104
High Point, NC 27263-1900
Phone (336) 200-7003

3250 Freedom Dr
Charlotte, NC 28208-2817
Phone (704) 709-6009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Texas, PLLC Family CurrentSince Apr 22, 2024 Accepting new patients
Osh-Mi Physicians Group PC Family CurrentSince May 20, 2024 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince May 20, 2024 Accepting new patients
Today Clinic Texas PLLC PastSince Feb 1, 2020 Accepting new patients

Locations

3250 Freedom Dr
Charlotte, NC 28208
Phone (704) 394-0118

2850 S Main St
Ste 104
High Point, NC 27263
Phone (336) 200-7003

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

Organizations & group practices 4

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1386203842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318A W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673326",
            "telephone_number": "214-222-0781",
            "fax_number": "214-222-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 E LANCASTER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033614",
            "telephone_number": "817-796-7370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1318A W Main St",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750673326",
            "country_code": "US",
            "telephone_number": "214-222-0781",
            "fax_number": "214-222-0769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2850 S Main St Ste 104",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272631900",
            "country_code": "US",
            "telephone_number": "336-200-7003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "KIRSTIN",
        "middle_name": "CAYCE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTIN",
            "last_name": "CAYCE",
            "middle_name": "ARIEL",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.