Active NPI
Haley Grace Ruljancich, NP-C
- Gerontology Nurse Practitioner
- Eugene, OR
National Provider Identifier
1821647173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 201907991NP-PP
- Practice address
- 4010 Aerial Way
Eugene, OR 97402-9757 - Phone
- (541) 242-8385
- Fax
- (541) 242-8480
- NPI assigned
- Sep 10, 2019
- Last updated
- Aug 12, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 201907991NP-PP | OR | Primary |
Addresses
Primary practice location
4010 Aerial Way
Eugene, OR 97402-9757
Mailing address
216 Woodlane Dr
Springfield, OR 97477-2208
Other practice location 1
1426 Oak St
Eugene, OR 97401-4043
Phone (541) 413-0000
Other names 1
- Haley Grace Epps
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Oakstreetmedical.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4010 Aerial Way
Eugene, OR 97402-9757
Phone (541) 242-8300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201907991NP-PP | OR | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth Medical Group | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth Medical Group | Current | Accepting new patients |
Locations
4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300
2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700
Interoperability endpoints
- hruljancich436409@direct.peacehealth.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Eugene, OR
- NPI 1447207287
-
dba Nurse Midwifery Birth Center
- Birthing Clinic/Center
- Springfield, OR
- NPI 1881860856
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sacred Heart Hospice
- Community Based Hospice Care Agency
- Springfield, OR
- NPI 1073594065
-
- Psychiatric Hospital Unit
- Eugene, OR
- NPI 1568236974
-
dba Signature Healthcare at Home
- Home Health Agency
- Eugene, OR
- NPI 1013733211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1821647173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 WOODLANE DR",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974772208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 AERIAL WAY",
"city": "EUGENE",
"state": "OR",
"postal_code": "974029757",
"telephone_number": "541-242-8385",
"fax_number": "541-242-8480"
}
],
"practiceLocations": [
{
"address_1": "1426 Oak St",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974014043",
"country_code": "US",
"telephone_number": "541-413-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RULJANCICH",
"first_name": "HALEY",
"middle_name": "GRACE",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OR",
"license": "201907991NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Oakstreetmedical.com",
"affiliation": "N",
"endpointDescription": "Via Oak Street Medical Website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Unsure, will check with staff.",
"address_1": "1426 Oak St",
"city": "Eugene",
"state": "OR",
"country_code": "US",
"postal_code": "974014043",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "HALEY",
"last_name": "EPPS",
"middle_name": "GRACE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.