Jennifer Ruel, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704219489 Issued in MI

Practice address

3500 15 Mile Rd
Sterling Heights, MI 48310-5353

Phone

(586) 977-6212

NPI assigned

Jan 6, 2006

Last updated

Jun 14, 2016By the provider in NPPES

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 identifiers 6

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenniferruel@emcuramed.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A3 Medical

  • Internal Medicine Physician
  • Bloomfield, MI
  • NPI 1366798373
  Medicare reassignment NPD
• Privamd Physicians PLLC

  dba PremierMD Physicians PLLC

  • Family Medicine Physician
  • Spring Lake, MI
  • NPI 1598304701

  Nurse Practitioner

  Medicare reassignment NPD
• TLC of Mi LLC

  • Nursing Facility/Intermediate Care Facility
  • Brentwood, TN
  • NPI 1174794655
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1811975022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 W MAPLE RD",
            "address_2": "SUITE 101",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013148",
            "telephone_number": "248-885-8211",
            "fax_number": "248-885-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105353",
            "telephone_number": "586-977-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEL",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704219489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-4648542",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-4648533",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-4648524",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-4648560",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-4648506",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-4648515",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• RTM LLC (Integrated Physical Therapy Works)
• Jordan Rubick-Jessie
• Ida Jean Rubino, MD
• Justine Rudisell
• Lauren Ruehlen
• Hailey Marie Ruggs
• Inas A Ruhban, MD
• Lauren Marie Ruhl
• Jennifer Ruhlman, RPH
• Heather M Ruppel, MD

• Nurse Practitioner in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.