Individual provider Active NPI

Kristin Ruiter

  • Family Nurse Practitioner
  • Cary, NC
National Provider Identifier
1831596576
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5007329 Issued in NC
Practice address
224 High House Rd
Suite 100
Cary, NC 27513-4278
Phone
(919) 380-7531
Fax
(919) 380-0686
NPI assigned
Nov 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5007329 NC
Family Nurse Practitioner 363LF0000X 5007329 NC Primary

Addresses

Primary practice location

224 High House Rd
Suite 100
Cary, NC 27513-4278

Mailing address

224 High House Rd
Suite 100
Cary, NC 27513-4278
Phone (919) 380-7531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20150310001660 NC Practitioner - Nurse Practitioner 0648596619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine and Pediatrics Associates PAGroup PAC ID 8820035009, 5 clinicians

Practice addresses (Care Compare)

224 High House Rd
Suite 100
Cary, NC 27513-4278
Phone (919) 380-7531

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5007329NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine and Pediatrics Associates, PA Internal Medicine CurrentSince Dec 24, 2014 Accepting new patients

Locations

224 High House Rd
Ste 100
Cary, NC 27513
Phone (919) 380-1189

Interoperability endpoints

  • Direct secure messaging: kristin.ruiter@impa.eclinicaldirectplus.com

Organizations & group practices 1

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": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1831596576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HIGH HOUSE RD",
            "address_2": "SUITE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134278",
            "telephone_number": "919-380-7531",
            "fax_number": "919-380-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 HIGH HOUSE RD",
            "address_2": "SUITE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134278",
            "telephone_number": "919-380-7531",
            "fax_number": "919-380-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUITER",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "5007329",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.