Stephanie Danielle Ruise, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11027745 Issued in FL

Practice address

103 US Highway 27 SW
Branford, FL 32008-2767

Phone

(386) 395-3090

Fax

(386) 935-3198

NPI assigned

Jan 6, 2023

Last updated

Aug 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Stephanie D Harris Former name

Electronic endpoints 1

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trenton Medical Center IncGroup PAC ID 2365359387, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trenton Medical Center Inc

  dba Palms Medical Group

  • Federally Qualified Health Center (FQHC)
  • Trenton, FL
  • NPI 1801826268
  Medicare reassignment Care Compare group NPD
• Florida Rehab Specialists, PLLC

  • Adult Medicine Physician
  • Williston, FL
  • NPI 1447941984
  Medicare reassignment NPD
• Trenton Medical Center Inc

  dba Palms Medical Group

  • Federally Qualified Health Center (FQHC)
  • Williston, FL
  • NPI 1255577631
  NPD
• Trenton Medical Center, Inc.

  dba Palms Medical Group

  • Federally Qualified Health Center (FQHC)
  • Fleming Island, FL
  • NPI 1275220238
  NPD

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

• Notami Hospitals of Florida Inc

  dba HCA Florida Lake City Hospital

  • General Acute Care Hospital
  • Lake City, FL
  • NPI 1992751879
  Care Compare affiliation

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1558075440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 SW BARWICK TER",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320240975",
            "telephone_number": "386-984-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 US HIGHWAY 27 SW",
            "city": "BRANFORD",
            "state": "FL",
            "postal_code": "320082767",
            "telephone_number": "386-395-3090",
            "fax_number": "386-935-3198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 W DuVal St",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320555806",
            "country_code": "US",
            "telephone_number": "386-755-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUISE",
        "first_name": "STEPHANIE",
        "middle_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "F07231142",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "FL",
            "license": "11027745",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11027745",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11027745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://static.practicefusion.com/apps/ehr/index.html#/login",
            "affiliation": "N",
            "endpointDescription": "Business site",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "777 W DuVal St",
            "city": "Lake City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320555806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HARRIS",
            "middle_name": "D",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Krista M Lowe, APRN
• Kristin Hope McIntosh, ARNP
• Melanie L Kemmerer, DMD, PLLC
• North Florida Pharmacy of Branford Inc
• Jessie L Peterson, APRN
• Bienvenido Samera, M.D., P.A.
• Scott B. Samera, DPM, PA, LLC
• Rodney Lee Scyphers, ARNP-C, MSN
• Kali Sharpe, APRN
• Darya Smith

• Family Nurse Practitioner in Branford, FL
• Providers in Branford, 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 Aug 28, 2023; 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.