Individual provider Active NPI

Kyndra Ruiz, NP

  • Family Nurse Practitioner
  • Burleson, TX
National Provider Identifier
1649755356
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138960 Issued in TX
Practice address
11797 South Fwy Ste 254
Burleson, TX 76028-7035
Phone
(817) 293-8888
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP138960 TX Primary

Addresses

Primary practice location

11797 South Fwy Ste 254
Burleson, TX 76028-7035

Mailing address

1934 Starwood Dr
Weatherford, TX 76086-6155
Phone (940) 682-5959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20181031001167 TX Practitioner - Nurse Practitioner 2769735273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Heart and Vascular PLLCGroup PAC ID 6305168030, 4 clinicians

Practice addresses (Care Compare)

11797 S Fwy
Suite 254
Burleson, TX 76028-7035
Phone (817) 293-8888

Hospital & facility affiliations

  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677

Merit-based Incentive Payment System (MIPS)

Final score
93.53 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
62.92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Heart and Vascular PLLC CurrentSince Jun 1, 2019 Accepting new patients

Locations

11797 South Fwy
Ste 254
Burleson, TX 76028
Phone (817) 293-8888

201 N Broadway St
Joshua, TX 76058
Phone (817) 558-4535

Interoperability endpoints

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

Organizations & group practices 1

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": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1649755356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 STARWOOD DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866155",
            "telephone_number": "940-682-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11797 SOUTH FWY STE 254",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287035",
            "telephone_number": "817-293-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "KYNDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.