Stephanie Danielle Ruise, APRN
Individual provider Active NPI Family Nurse Practitioner · Branford, FL
NPI 1558075440 · NPPES record last updated Aug 28, 2023
Key facts
- NPI
- 1558075440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11027745 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trenton Medical Center Inc
Practice addresses (Care Compare)
103 US 27 SW
Brandford, FL 32008-3048
Phone (386) 935-3090
Hospital & facility affiliations
- HCA Florida Lake City Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230911001104 | FL | Practitioner - Nurse Practitioner | 9133583180 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F07231142 | FL | MD | Adult Health Nurse Practitioner |
| 11027745 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trenton Medical Center Inc | Current |
Accepting new patients | |
| Trenton Medical Center Inc | Current | Accepting new patients | |
| Florida Rehab Specialists, PLLC | Current |
Accepting new patients | |
| Trenton Medical Center, Inc. | Current |
Accepting new patients |
Locations
1830 N Main St
Bell, FL 32619
Phone (352) 463-1100
103 US Highway 27 SW
Branford, FL 32008
Phone (386) 395-3090
410 N Main St
Ste 12
Chiefland, FL 32626
Phone (352) 493-1686
2349 Village Square Pkwy
Ste 110111
Fleming Island, FL 32003
Phone (904) 385-2023
817 NW 56th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-7771
200 SW 62nd Blvd
Gainesville, FL 32607
Phone (352) 265-9484
901 NW 8th Ave
Ste D6
Gainesville, FL 32601
16916 NW US Highway 441
High Springs, FL 32643
Phone (386) 454-0568
23343 NW County Road 236
High Springs, FL 32643
173 NW Albritton Ln
Lake City, FL 32055
Phone (386) 755-4020
4784 W US Highway 90
Lake City, FL 32055
Phone (386) 269-9260
211 Ranchera St NW
Live Oak, FL 32064
Phone (386) 364-1751
922 E Call St
#100
Starke, FL 32091
Phone (904) 364-2900
911 S Main St
Trenton, FL 32693
Phone (352) 463-2374
300 NW 1st Ave
Williston, FL 32696
Phone (352) 528-3561
630 N Main St
Williston, FL 32696
Phone (352) 528-0587
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F07231142 | FL | |
| Community Health Nurse Practitioner | 363LC1500X | 11027745 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | 11027745 | FL | |
| Family Nurse Practitioner | 363LF0000X | 11027745 | FL | Yes |
Addresses
Primary practice location
103 US Highway 27 SW
Branford, FL 32008-2767
Mailing address
972 SW Barwick Ter
Lake City, FL 32024-0975
Phone (386) 984-9228
Other practice location 1
777 W DuVal St
Lake City, FL 32055-5806
Phone (386) 755-3300
Other names
- Stephanie D Harris
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://static.practicefusion.com/apps/ehr/index.html#/login | Direct |
Other providers in Branford, FL
- Krista M Lowe
- Kristin Hope McIntosh
- Melanie L Kemmerer, DMD, PLLC
- North Florida Pharmacy of Branford Inc
- Jessie L Peterson
- Bienvenido Samera
- Scott B. Samera, DPM, PA, LLC
- Rodney Lee Scyphers
- Kali Sharpe
- Darya Smith
All providers in Branford, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.