Individual provider Active NPI

Ruth Ducrepin, AGNP

  • Gerontology Nurse Practitioner
  • Boston, MA
National Provider Identifier
1649861535
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2259370 Issued in MA
Practice address
1325 Boylston St FL 11
Boston, MA 02215-3900
Phone
(781) 454-7777
Fax
(844) 260-7167
NPI assigned
Feb 2, 2021
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 2259370 MA Primary

Addresses

Primary practice location

1325 Boylston St FL 11
Boston, MA 02215-3900

Mailing address

1325 Boylston St FL 11
Boston, MA 02215-3900
Phone (781) 454-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20231114003070 MA Order and Referring Only - Nurse Practitioner 8325456189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2259370MAMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1649861535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 BOYLSTON ST FL 11",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153900",
            "telephone_number": "781-454-7777",
            "fax_number": "844-260-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 BOYLSTON ST FL 11",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153900",
            "telephone_number": "781-454-7777",
            "fax_number": "844-260-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCREPIN",
        "first_name": "RUTH",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "2259370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.