Individual provider Active NPI

Ruby Morgan, RN, MSN, FNP-C

  • Family Nurse Practitioner
  • Jasper, TX
National Provider Identifier
1508367434
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136102 Issued in TX
Practice address
315 W Houston St
Jasper, TX 75951-4013
Phone
(409) 384-3430
Fax
(409) 489-9327
NPI assigned
Feb 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 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 AP136102 TX Primary

Addresses

Primary practice location

315 W Houston St
Jasper, TX 75951-4013

Mailing address

315 W Houston St
Jasper, TX 75951-4013
Phone (409) 384-3430

Other names 1

  • Ruby Betencourt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180326001742 TX Practitioner - Nurse Practitioner 9436411790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Health Center IncGroup PAC ID 5597675215, 12 clinicians

Practice addresses (Care Compare)

2548 Memorial Blvd
Port Arthur, TX 77640-2825
Phone (409) 983-1161

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP136102TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Health Center, Inc CurrentSince May 21, 2018 Accepting new patients
Gulf Coast Health Center, Inc CurrentSince May 21, 2018 Accepting new patients
Gulf Coast Health Center Inc Current Accepting new patients
Gulf Coast Health Center Inc Past Accepting new patients

Locations

561 State St
Jasper, TX 75951
Phone (409) 384-1700

103 W Gibson St
Ste 110
Jasper, TX 75951
Phone (409) 489-9103

2548 Memorial Blvd
Port Arthur, TX 77640
Phone 4099831161817

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1508367434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W HOUSTON ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514013",
            "telephone_number": "409-384-3430",
            "fax_number": "409-489-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W HOUSTON ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514013",
            "telephone_number": "409-384-3430",
            "fax_number": "409-489-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "RUBY",
        "credential": "RN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBY",
            "last_name": "BETENCOURT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jasper, TX

Sources for this page

Verify at the official NPI Registry.