Active NPI
Brandon S Ruble, NP
- Acute Care Nurse Practitioner
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 2017037191
- Practice address
- 3801 S National Ave Ste 700
Springfield, MO 65807-5210 - Phone
- (417) 885-3888
- Fax
- (417) 881-7268
- NPI assigned
- Oct 4, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2010029945 | MO | |
| Acute Care Nurse Practitioner | 363LA2100X | 2017037191 | MO | Primary |
Addresses
Primary practice location
3801 S National Ave Ste 700
Springfield, MO 65807-5210
Mailing address
1411 E Primrose St Ste C
Springfield, MO 65804-4377
Phone (417) 882-1207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3801 S National Ave
Suite 700
Springfield, MO 65807-5210
Phone (417) 885-3888
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010029945 | MO | MD | Registered Nurse |
| 2017037191 | MO | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Neurological Institute, L.L.C. | Current | Accepting new patients | |
| Springfield Neurological Institute, L.L.C. | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Neurological and Spine Institute of the Ozarks LLC | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1411 E Primrose St
Ste C
Springfield, MO 65804
Phone (417) 882-1207
3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
3801 S National Ave
Ste 700
Springfield, MO 65807
Phone (417) 882-1207
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215
Organizations & group practices 7
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.
-
- Neurological Surgery Physician
- Springfield, MO
- NPI 1427002005
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
- Neurological Surgery Physician
- Fayetteville, AR
- NPI 1093088593
-
- Neurological Surgery Physician
- Branson, MO
- NPI 1740422104
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1396255493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 E PRIMROSE ST STE C",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044377",
"telephone_number": "417-882-1207",
"fax_number": "417-881-7268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 S NATIONAL AVE STE 700",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075210",
"telephone_number": "417-885-3888",
"fax_number": "417-881-7268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBLE",
"first_name": "BRANDON",
"middle_name": "S",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-04",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2010029945",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MO",
"license": "2017037191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.