Ruth Demmel, MD
Individual provider Active NPI Family Medicine Physician · Grant, NE
NPI 1770580227 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1770580227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- NE13057 (NE)
- Practice address
- 945 Washington Ave
Grant, NE 69140-3044 - Phone
- (308) 352-2122
- Fax
- (308) 352-2281
- NPI assigned
- Jun 30, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091119000658 | NE | Practitioner - Family Practice | 8921147521 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NE13057 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colglazier Clinic | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NE13057 | NE | Yes |
Addresses
Primary practice location
945 Washington Ave
Grant, NE 69140-3044
Mailing address
32745 Road 769
Ogallala, NE 69153-4008
Phone (308) 352-4078
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04122 | Other | NE | BLUE CROSS |
| NE13057 | Medicaid | NE |
Other providers in Grant, NE
- John Matthew Byrd
- Colglazier Clinic
- Clifford Ray Colglazier
- Carol S. Cornelius
- County of Perkins
- Traci E Draucker
- First Insight Eyecare, LLC
- Shannon Fisher
- Jorje Jette Geisert
- Eric Ross Gengenbach
All providers in Grant, NE · Family Medicine Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.