Individual provider Active NPI

Ruth Etta Roe, FNP

  • Family Nurse Practitioner
  • Big Pine Key, FL
National Provider Identifier
1780980698
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1466682 Issued in FL
Practice address
30919 Ortega Lane
Big Pine Key, FL 33043-0562
Phone
(305) 923-6826
NPI assigned
Feb 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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 1466682 FL Primary

Addresses

Primary practice location

30919 Ortega Lane
Big Pine Key, FL 33043-0562

Mailing address

30919 Ortega Lane
Big Pine Key, FL 33043-0562
Phone (305) 923-6826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, HI2 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
I20150521000294 TX Practitioner - Nurse Practitioner 5698900736 Reassigns benefits to 2 organizations
I20240513001959 HI Practitioner - Nurse Practitioner 5698900736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.86 of 100Reported as group
Quality
61.32
Improvement activities
40
Cost
90.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1466682FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maniilaq Association Current Accepting new patients
Molokai General Hospital CurrentSince Mar 25, 2024 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Mar 16, 2020 Accepting new patients
Maniilaq Association CurrentSince Mar 21, 2015 Accepting new patients
Maniilaq Association CurrentSince Mar 21, 2015 Accepting new patients
Molokai General Hospital CurrentSince Mar 25, 2024 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility Current Accepting new patients

Organizations & group practices 7

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": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1780980698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30919 ORTEGA LANE",
            "city": "BIG PINE KEY",
            "state": "FL",
            "postal_code": "330430562",
            "telephone_number": "305-923-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30919 ORTEGA LANE",
            "city": "BIG PINE KEY",
            "state": "FL",
            "postal_code": "330430562",
            "telephone_number": "305-923-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "RUTH",
        "middle_name": "ETTA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1466682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Pine Key, FL

Sources for this page

Verify at the official NPI Registry.