Active NPI
Melissa Ruppel
- Critical Care Neonatal Nurse Practitioner
- Springfield, IL
National Provider Identifier
1821482324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- APRN11001863
- Practice address
- 415 N 9TH St
Susite 4W16
Springfield, IL 62702-5303 - Phone
- (217) 545-8000
- Fax
- (217) 757-6844
- NPI assigned
- Mar 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 209-012630 | IL | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | APRN11001863 | FL | Primary |
Addresses
Primary practice location
415 N 9TH St
Susite 4W16
Springfield, IL 62702-5303
Mailing address
PO Box 19676
Springfield, IL 62794-9676
Phone (217) 545-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Past | Accepting new patients |
Locations
1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
Interoperability endpoints
- mruppel425309@direct.shands.ufl.edu
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.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Developmental - Behavioral Pediatrics Physician
- Jacksonville, FL
- NPI 1649430919
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Pediatrics Physician
- Springfield, IL
- NPI 1285657379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1821482324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19676",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949676",
"telephone_number": "217-545-8000",
"fax_number": "217-757-6844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N 9TH ST",
"address_2": "SUSITE 4W16",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025303",
"telephone_number": "217-545-8000",
"fax_number": "217-757-6844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUPPEL",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-23",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "IL",
"license": "209-012630",
"primary": false
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "FL",
"license": "APRN11001863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.