Michelle Ruddock

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11002621 Issued in FL

Practice address

109 JFK Dr Ste C
Atlantis, FL 33462-6617

Phone

(615) 818-4965

NPI assigned

Aug 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Total Care Medical Centers LLCGroup PAC ID 1052716875, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Total Care Medical Centers LLC

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1285212050
  Medicare reassignment Care Compare group NPD
• Accountable Care Hospitalist Group

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1659640282
  Medicare reassignment NPD
• Accountable Care Post Acute Care Services LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Palm Springs, FL
  • NPI 1598209769
  Medicare reassignment NPD
• Independent Multispecialty Group of Florida LLC

  • Surgery Physician
  • Wellington, FL
  • NPI 1346745122
  NPD
• Medical Specialists of the Palm Beaches Inc

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1740343615
  NPD (past)

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1508411158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7593 W BOYNTON BEACH BLVD STE 220",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376162",
            "telephone_number": "561-678-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 JFK DR STE C",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626617",
            "telephone_number": "615-818-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDOCK",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross G Stone MD PA
• Carolyn L Rossi, CRNA
• Rachel Erin Roth
• Susannah Rothenberg, MD
• Howard Routman, D.O
• Caswell Rumball, MD
• David A. Ryals, PT
• Pamela Caryn Saavedra-Rivera, MD
• Alberto Andres Sabates, MD
• Denese Sabatino, ARNP

• Family Nurse Practitioner in Atlantis, FL
• Providers in Atlantis, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.

Verify at the official NPI Registry.