Individual provider Active NPI

Ruby Ann Roy, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Junction City, KS
National Provider Identifier
1508366782
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
57-77958-081 Issued in KS
Practice address
1123 Cannon View LN Apt 11
Junction City, KS 66441-4567
Phone
(407) 230-2532
NPI assigned
Feb 14, 2018
Last updated
Feb 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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 57-77958-081 KS Primary

Addresses

Primary practice location

1123 Cannon View LN Apt 11
Junction City, KS 66441-4567

Mailing address

1123 Cannon View LN Apt 11
Junction City, KS 66441-4567
Phone (407) 230-2532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL, TX, MN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20250721000875 WI Practitioner - Nurse Practitioner 5496272429 Reassigns benefits to 1 organization
I20250908000501 FL Practitioner - Nurse Practitioner 5496272429 Reassigns benefits to 1 organization
I20250918002543 TX Practitioner - Nurse Practitioner 5496272429 Reassigns benefits to 1 organization
I20251027002814 MN Practitioner - Nurse Practitioner 5496272429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2900 Somersworth CT
Orlando, FL 32835-6142

424 Church St
Nashville, TN 37219-2301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
57-77958-081KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physician Services of Texas, P.a. Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
Matrix Medical Plus Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Community Care Health Network LLC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

2202 N West Shore Blvd
Tampa, FL 33607
Phone (813) 416-4680

2202 N West Shore Blvd
Ste 200
Tampa, FL 33607
Phone (317) 452-4352

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

121 Washington Ave N
Fl 4
Minneapolis, MN 55401
Phone (404) 992-2702

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

250 E Wisconsin Ave
Fl 18
Milwaukee, WI 53202
Phone (303) 748-5781

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1508366782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 CANNON VIEW LN APT 11",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664414567",
            "telephone_number": "407-230-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 CANNON VIEW LN APT 11",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664414567",
            "telephone_number": "407-230-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "RUBY ANN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "57-77958-081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Junction City, KS

Sources for this page

Verify at the official NPI Registry.