Individual provider Active NPI

Linda Heckett Ruta, ADULT NURSE PRACTITI

  • Family Nurse Practitioner
  • Fishkill, NY
National Provider Identifier
1841482353
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339879 Issued in NY
Practice address
400 Westage Business Ctr Dr
Suite 103
Fishkill, NY 12524-2223
Phone
(845) 896-5900
NPI assigned
Aug 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 339879 NY Primary
Adult Health Clinical Nurse Specialist 364SA2200X F304344-1 NY

Addresses

Primary practice location

400 Westage Business Ctr Dr
Suite 103
Fishkill, NY 12524-2223

Mailing address

111 Clock Tower CMNS
Brewster, NY 10509-4055
Phone (845) 896-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160620001281 NY Practitioner - Nurse Practitioner 3870884018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Medical Group of the Hudson Valley PCGroup PAC ID 3072575109, 134 clinicians

Practice addresses (Care Compare)

1 Webster Ave
Suite 307
Poughkeepsie, NY 12601-1365
Phone (845) 790-6100

Hospital & facility affiliations

  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
339879NYMDObstetrics & Gynecology Physician
F304344-1NYMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Rabi R Sinha Physician P.C. CurrentSince Sep 21, 2023 Accepting new patients
Premier Medical Group of the Hudson Valley P.C. CurrentSince Apr 12, 2016 Accepting new patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Apr 12, 2016 Accepting new patients

Locations

111 Clock Tower Cmns
Brewster, NY 10509
Phone (845) 592-4915

400 Westage Business Ctr Dr
Ste 210
Fishkill, NY 12524
Phone (845) 838-8480

400 Westage Business Ctr Dr
Ste 103
Fishkill, NY 12524
Phone (845) 454-1942

45 Foster Rd
Hopewell Junction, NY 12533
Phone (845) 592-4036

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

1 Webster Ave
Ste 307
Poughkeepsie, NY 12601
Phone (845) 471-1002

1 Webster Ave
Ste 301
Poughkeepsie, NY 12601
Phone (845) 483-5858

159 Barnegat Rd
Fl 2
Poughkeepsie, NY 12601
Phone (845) 452-9800

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1841482353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLOCK TOWER CMNS",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094055",
            "telephone_number": "845-896-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WESTAGE BUSINESS CTR DR",
            "address_2": "SUITE 103",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242223",
            "telephone_number": "845-896-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTA",
        "first_name": "LINDA",
        "middle_name": "HECKETT",
        "name_prefix": "Ms.",
        "credential": "ADULT NURSE PRACTITI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339879",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NY",
            "license": "F304344-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.