Active NPI
Ruby Rose Madarico Etquibal
- Nurse Practitioner
- Inverness, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11025032
- Practice address
- 502 W Highland Blvd
Inverness, FL 34452-4720 - Phone
- (352) 341-6195
- NPI assigned
- Mar 6, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11025032 | FL | Primary |
Addresses
Primary practice location
502 W Highland Blvd
Inverness, FL 34452-4720
Mailing address
2847 E Marcia St
Inverness, FL 34453-4503
Phone (352) 815-6524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000 | Other | NONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora Health Services Inc
Practice addresses (Care Compare)
1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378
2415 SE 17TH St
Ocala, FL 34471-2618
Phone (352) 732-5365
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.09 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11025032 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Ocala Health Primary Care LLC | Current | Accepting new patients | |
| Advanced Urology Institute, LLC | Current | Accepting new patients | |
| Advanced Urology Institute, LLC | Current | Accepting new patients |
Locations
609 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-9707
506 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 427-9554
2415 SE 17th St
Ocala, FL 34471
Phone (352) 732-5365
12109 County Road 103
Oxford, FL 34484
Phone (352) 205-8981
Interoperability endpoints
- https://app.meldrx.com/api/fhir/uc41222_advuroswflorida
- retquibal296673@direct.tgh.org
- rubyroseetquibal@aui.medalliesdirect.net
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- rubyrose.etquibal@hca5.eclinicaldirectplus.com
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.
-
- Family Medicine Physician
- Ocala, FL
- NPI 1720398456
-
- Urology Physician
- Oxford, FL
- NPI 1023447935
-
- Durable Medical Equipment & Medical Supplies
- Inverness, FL
- NPI 1700024163
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1437859865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2847 E MARCIA ST",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344534503",
"telephone_number": "352-815-6524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 W HIGHLAND BLVD",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344524720",
"telephone_number": "352-341-6195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETQUIBAL",
"first_name": "RUBY ROSE",
"middle_name": "MADARICO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11025032",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "00000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Inverness, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.