Individual provider Active NPI

Jessica Ruiseco

  • Primary Care Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1609234525
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP9247050 Issued in FL
Practice address
1117 N Olive Ave Ste 203
West Palm Beach, FL 33401-3520
Phone
(561) 802-9050
Fax
(561) 802-9059
NPI assigned
Feb 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X ARNP9247050 FL Primary

Addresses

Primary practice location

1117 N Olive Ave Ste 203
West Palm Beach, FL 33401-3520

Mailing address

1117 N Olive Ave Ste 203
West Palm Beach, FL 33401-3520

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190311001335 FL Practitioner - Nurse Practitioner 5799024600 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
Telehealth
Offers telehealth services
Group practices
Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

1117 N Olive Ave
Suite 203
West Palm Beach, FL 33401-3520
Phone (561) 802-9050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9247050FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health LLC Current Accepting new patients
Gastro Health, LLC CurrentSince Sep 1, 2018 Accepting new patients

Locations

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

3375 Burns Rd
Ste 109
Palm Beach Gardens, FL 33410
Phone (561) 626-7575

1117 N Olive Ave
Ste 203
West Palm Beach, FL 33401
Phone (561) 659-5466

Interoperability endpoints

  • Direct secure messaging: jessica.ruiseco@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 2

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 3

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": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1609234525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 N OLIVE AVE STE 203",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 N OLIVE AVE STE 203",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013520",
            "telephone_number": "561-802-9050",
            "fax_number": "561-802-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUISECO",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9247050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.