Jessica Ruiz Balderrama

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1001745 Issued in TX

Practice address

3601 4TH St
Lubbock, TX 79430-5055

Phone

(806) 743-7335

Fax

(806) 743-7329

NPI assigned

Mar 3, 2023

Last updated

Apr 1, 2026By 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 2

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• Texas Tech University Health Sciences Center Lubbock

  dba TTUHSC/Anatomical Pathology

  • Anatomic Pathology Physician
  • Lubbock, TX
  • NPI 1063461358
  Medicare reassignment NPD
• Texas Tech University Health Sciences Center Lubbock

  dba Ttuhsc - DME

  • Durable Medical Equipment & Medical Supplies
  • Lubbock, TX
  • NPI 1053458026
  NPD
• Texas Tech University Health Sciences Center Lubbock

  • Pediatrics Physician
  • Lubbock, TX
  • NPI 1972552263
  NPD
• Sandra Maerzacker, MD, PLLC

  • Pediatrics Physician
  • Midland, TX
  • NPI 1124893177
  NPD (past)
• Sari Nabulsi MD LTD LLP

  • Pediatrics Physician
  • Midland, TX
  • NPI 1609893262
  NPD (past)
• Texas Tech University Health Sciences Center Lubbock

  dba TTUHSC - Anesthesiology

  • Anesthesiology Physician
  • Lubbock, TX
  • NPI 1306894175
  NPD (past)

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1902506512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 4TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794300002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794305055",
            "telephone_number": "806-743-7335",
            "fax_number": "806-743-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ BALDERRAMA",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1001745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING PRESCRIPTIVE AUTHORITY NUMBER",
            "identifier": "47598",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING APRN-CNP LICENSE NUMBER",
            "identifier": "1001745",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Rubio
• Jennifer Ruch, DO
• Michael David Rudd, PH.D.
• Brent Allen Ruebensam, , M.A., LPC, ASOTP
• Rufus J. Mark, M.D., P.a.
• Alec Ruiz
• Matthew Ruiz, SLP ASSISTANT
• Tanya Guadalupe Ruiz, LVN
• Rush and Mike Wheeler Inc (golden age nursing home)
• Dustin L Rush, MAT, ATC, LAT

• Pediatric Nurse Practitioner in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.