Individual provider Active NPI

Miatta Ruth Sawyerr, NP

  • Nurse Practitioner
  • Ennis, TX
National Provider Identifier
1558031922
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1059486 Issued in TX
Practice address
802 W Lampasas St
Ennis, TX 75119-4500
Phone
(972) 875-4700
Fax
(972) 878-4527
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F08210772 TX
Nurse Practitioner 363L00000X 1059486 TX Primary

Addresses

Primary practice location

802 W Lampasas St
Ennis, TX 75119-4500

Mailing address

802 W Lampasas St
Ennis, TX 75119-4500
Phone (972) 875-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220902001980 TX Practitioner - Nurse Practitioner 9335523729 Reassigns benefits to 1 organization
I20251031000596 MO Practitioner - Nurse Practitioner 9335523729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellis County Medical AssociatesGroup PAC ID 5991779597, 7 clinicians

Practice addresses (Care Compare)

802 W Lampasas St
Ennis, TX 75119-4536
Phone 9728754700320

Hospital & facility affiliations

  • Navarro Regional Hospital Hospital, Corsicana, TX, CCN 450447
  • Ennis Regional Medical Center Hospital, Ennis, TX, CCN 450833

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F08210772TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Center CurrentSince Oct 1, 2025 Accepting new patients
Ellis County Medical Associates Family Medicine CurrentSince May 24, 2022 Accepting new patients
Ozark Center Family Medicine CurrentSince Oct 1, 2025 Accepting new patients

Locations

3230 Wisconsin Ave
Ste Ad
Joplin, MO 64804

802 W Lampasas St
Ennis, TX 75119
Phone (972) 875-4700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGFCAA

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 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": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1558031922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194500",
            "telephone_number": "972-875-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194500",
            "telephone_number": "972-875-4700",
            "fax_number": "972-878-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYERR",
        "first_name": "MIATTA",
        "middle_name": "RUTH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F08210772",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1059486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, TX

Sources for this page

Verify at the official NPI Registry.