Active NPI
Lilliana Ruc
- Case Manager/Care Coordinator
- Gaylord, MI
National Provider Identifier
1407702129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1325 S Otsego Ave
Gaylord, MI 49735-7749 - Phone
- (231) 535-2822
- NPI assigned
- Mar 5, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1325 S Otsego Ave
Gaylord, MI 49735-7749
Mailing address
5679 Arawak Pass
Gaylord, MI 49735-9022
Other practice location 1
8486 M 119
Harbor Springs, MI 49740-8508
Phone (231) 535-2822
Other practice location 2
1342 Baldwin St
Jenison, MI 49428-8937
Phone (231) 535-2822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bear River Primary Care | Past | Accepting new patients | |
| Walloon Lake Recovery Lodge, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/21307/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Gaylord, MI
- NPI 1609427541
-
- Substance Abuse Rehabilitation Facility
- Boyne Falls, MI
- NPI 1750791505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1407702129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5679 ARAWAK PASS",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497359022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 S OTSEGO AVE",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497357749",
"telephone_number": "231-535-2822"
}
],
"practiceLocations": [
{
"address_1": "8486 M 119",
"address_purpose": "LOCATION",
"city": "Harbor Springs",
"state": "MI",
"postal_code": "497408508",
"country_code": "US",
"telephone_number": "231-535-2822",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1342 Baldwin St",
"address_purpose": "LOCATION",
"city": "Jenison",
"state": "MI",
"postal_code": "494288937",
"country_code": "US",
"telephone_number": "231-535-2822",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUC",
"first_name": "LILLIANA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-03-05",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaylord, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.