Individual provider Active NPI

Jennifer Ruby, APRN, FNP-BC

  • Family Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1730063116
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
892444 Issued in NV
Practice address
4040 N MLK Blvd
North Las Vegas, NV 89032-3205
Phone
(702) 715-9817
Fax
(702) 902-5443
NPI assigned
Jul 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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 892444 NV Primary

Addresses

Primary practice location

4040 N MLK Blvd
North Las Vegas, NV 89032-3205

Mailing address

4040 N MLK Blvd
North Las Vegas, NV 89032-3205
Phone (702) 715-9817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20251205003517 NV Practitioner - Nurse Practitioner 9436642501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4040 N Martin Luther King Blvd
North Las Vegas, NV 89032

725 W Town and Country Rd
Orange, CA 92868-4703

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
892444NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Christian Health Center Corp CurrentSince Dec 1, 2025 Accepting new patients
Hope Christian Health Center Corp Current Accepting new patients
Hope Christian Health Center Corp CurrentSince Dec 1, 2025 Accepting new patients

Locations

4040 N Martin L King Blvd
Ste A
North Las Vegas, NV 89032
Phone (702) 644-4673

4357 Corporate Center Dr
Ste 450
North Las Vegas, NV 89030
Phone (702) 644-4673

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1730063116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 N MLK BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890323205",
            "telephone_number": "702-715-9817",
            "fax_number": "702-902-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 N MLK BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890323205",
            "telephone_number": "702-715-9817",
            "fax_number": "702-902-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBY",
        "first_name": "JENNIFER",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "892444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.