Individual provider Active NPI

Lenejean Ruoff, NURSE PRACTITIONER

  • Home Health Clinical Nurse Specialist
  • Farmington Hills, MI
National Provider Identifier
1508329954
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X
License
4704297224 Issued in MI
Practice address
23095 Colgate St
Farmington Hills, MI 48336-3623
Phone
(313) 268-9991
NPI assigned
Apr 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704297224NSA190S6 MI
Home Health Clinical Nurse Specialist 364SH0200X 4704297224 MI Primary

Addresses

Primary practice location

23095 Colgate St
Farmington Hills, MI 48336-3623

Mailing address

23095 Colgate St
Farmington Hills, MI 48336-3623
Phone (313) 268-9991

Other identifiers 2

IdentifierTypeStateIssuer
4704297224NSA190S6OtherMINURSE PRACTITIONER
1508329954MedicaidMI

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
I20210422001039 MI Practitioner - Nurse Practitioner 1355759853 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704297224NSA190S6MIMDPrimary Care Nurse Practitioner
4704297224MIMDHome Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ruoff, Lenejean Practice CurrentSince Apr 6, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1508329954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23095 COLGATE ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483363623",
            "telephone_number": "313-268-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23095 COLGATE ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483363623",
            "telephone_number": "313-268-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUOFF",
        "first_name": "LENEJEAN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704297224NSA190S6",
            "primary": false
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "MI",
            "license": "4704297224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "4704297224NSA190S6",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508329954",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.