Samara Ruder, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F10181212 Issued in IN

Practice address

8183 Magoun Dr
Saint John, IN 46373-8888

Phone

(219) 798-3562

NPI assigned

Jan 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samara Ruder Professional name

Medicare fee-for-service enrollment

Enrolled in IN, NM, TX3 enrollments

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 3

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 and National Provider Directory roles.

• Comprehensive Rehab Consultants PLLC

  • Physical Medicine & Rehabilitation Physician
  • Middle River, MD
  • NPI 1710529771

  Family, TX

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  NM

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863
  Medicare reassignment
• Kenneth C. Lewis MD,LLC

  • Pain Medicine (Anesthesiology) Physician
  • Grand Junction, CO
  • NPI 1912639642
  NPD (past)

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1669946489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8183 MAGOUN DR",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738888",
            "telephone_number": "219-798-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8183 MAGOUN DR",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738888",
            "telephone_number": "219-798-3562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463832748",
            "country_code": "US",
            "telephone_number": "219-476-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Hobart",
            "state": "IN",
            "postal_code": "463424439",
            "country_code": "US",
            "telephone_number": "219-476-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Legacy Plz W",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463505285",
            "country_code": "US",
            "telephone_number": "219-476-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1928 45th St",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463213917",
            "country_code": "US",
            "telephone_number": "219-476-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDER",
        "first_name": "SAMARA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F10181212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMARA",
            "last_name": "RUDER",
            "credential": "NP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kara Nicole Reynolds
• Gina Roak
• Sandra Robles
• Caroline Rosales, MA, LMHC, NCC
• Victoria Erin Ross
• Mark S Rybczynski, D.O.
• Sarah Marya Sandoval
• Evelyn Sebastian, COTA/L
• Sencare LLC
• Saaduddin Mohammed Siddiqui, MD

• Family Nurse Practitioner in Saint John, IN
• Providers in Saint John, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.