Individual provider Active NPI

Ruth Anne Sircy

  • Family Nurse Practitioner
  • Richmond, MI
National Provider Identifier
1447587886
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704156157 Issued in MI
Practice address
67267 S Main St
Richmond, MI 48062-1919
Phone
(586) 727-2761
Fax
(586) 727-3120
NPI assigned
Nov 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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 4704156157 MI Primary

Addresses

Primary practice location

67267 S Main St
Richmond, MI 48062-1919

Mailing address

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-7587

Other practice location 1

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-7587

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rsircy1@dirct.hfhs.org
Direct Messaging Address rsircy1@direct.hfhs.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100114000407 MI Practitioner - Nurse Practitioner 8921149808 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation Nurse Practitioner CurrentSince Oct 24, 2014 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Oct 24, 2014 Accepting new patients
Henry Ford Health System CurrentSince Nov 23, 2009 Accepting new patients
Henry Ford Health System Nurse Practitioner CurrentSince Nov 23, 2009 Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients

Locations

80600 Van Dyke Rd
Bruce Twp, MI 48065
Phone (810) 798-6500

30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15420 19 Mile Rd
Ste 200
Clinton Twp, MI 48038
Phone (586) 286-4490

21250 Hall Rd
Ste 200
Clinton Twp, MI 48038
Phone (586) 465-2000

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

67267 S Main St
Richmond, MI 48062
Phone (586) 336-7333

62324 Van Dyke Rd
Washington, MI 48094

12150 30 Mile Rd
Washington Twp, MI 48095
Phone (586) 336-2480

Interoperability endpoints

  • Direct secure messaging: rsircy15130@direct.hfhs.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1447587886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67267 S MAIN ST",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480621919",
            "telephone_number": "586-727-2761",
            "fax_number": "586-727-3120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2799 W Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022608",
            "country_code": "US",
            "telephone_number": "313-916-7587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIRCY",
        "first_name": "RUTH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704156157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsircy1@dirct.hfhs.org",
            "affiliation": "N",
            "address_1": "2799 W Grand Blvd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482022608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsircy1@direct.hfhs.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2799 W Grand Blvd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482022608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, MI

Sources for this page

Verify at the official NPI Registry.