Individual provider Active NPI

Marion Ruth, FNP-C

  • Family Nurse Practitioner
  • Kenai, AK
National Provider Identifier
1740789288
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
145218 Issued in AK
Practice address
508 Upland St
Kenai, AK 99611-8026
Phone
(907) 335-7520
Fax
(888) 491-3360
NPI assigned
Feb 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95006781 CA
Family Nurse Practitioner 363LF0000X 145218 AK Primary

Addresses

Primary practice location

508 Upland St
Kenai, AK 99611-8026

Mailing address

4415 Campus St # 2
Anchorage, AK 99507-1548
Phone (520) 437-2503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AK2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20181130002091 CA Practitioner - Nurse Practitioner 3678817731 Reassigns benefits to 1 organization
I20190820003864 AK Practitioner - Nurse Practitioner 3678817731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Express Care Ak LLCGroup PAC ID 2163855032, 16 clinicians
Sunshine Community Health Center IncGroup PAC ID 3173415635, shared by 2 NPIs, 12 clinicians

Practice addresses (Care Compare)

1118 N Muldoon Rd
Suite 130
Anchorage, AK 99504-6110
Phone (888) 227-3312

17101 Snowmobile LN
Suite 114
Eagle River, AK 99577-7043
Phone (888) 227-3312

PO Box
Talkeetna, AK 99676

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.88 of 100Reported as group
Quality
80.34
Promoting interoperability
98
Improvement activities
40
Cost
77.59

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego American Indian Health Center Family CurrentSince Sep 5, 2018 Accepting new patients
Express Care Ak LLC CurrentSince Nov 21, 2021 Accepting new patients
Express Care Ak LLC CurrentSince Nov 21, 2021 Accepting new patients
MCC San Diego PastSince Apr 11, 2021 Accepting new patients

Locations

2900 Seward Hwy
Ste D
Anchorage, AK 99503

1118 N Muldoon Rd
Ste 130
Anchorage, AK 99504

2602 1st Ave
Ste 105
San Diego, CA 92103

2602 1st Ave
San Diego, CA 92103
Phone (206) 321-2123

2630 1st Ave
San Diego, CA 92103
Phone (619) 234-2158

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGCCD
  • Direct secure messaging: mruth1147888@oc.providencedirect.org
  • Direct secure messaging: mruth1147835@ak.providencedirect.org
  • Direct secure messaging: marion.ruth.1@27018.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1518307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1740789288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 CAMPUS ST # 2",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071548",
            "telephone_number": "520-437-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 UPLAND ST",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118026",
            "telephone_number": "907-335-7520",
            "fax_number": "888-491-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTH",
        "first_name": "MARION",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-11",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006781",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "145218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenai, AK

Sources for this page

Verify at the official NPI Registry.