Individual provider Active NPI

Ruth Chavez, DNP, CNP

  • Family Nurse Practitioner
  • Sunbury, OH
National Provider Identifier
1912134669
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10752 Issued in OH
Practice address
111 W Cherry St
Sunbury, OH 43074-9342
Phone
(740) 965-3061
NPI assigned
Jun 19, 2009
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10752 OH Primary

Addresses

Primary practice location

111 W Cherry St
Sunbury, OH 43074-9342

Mailing address

111 W Cherry St
Sunbury, OH 43074-9342
Phone (740) 965-3061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090807000338 OH Practitioner - Nurse Practitioner 9931252939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
P.R. Care, LTDGroup PAC ID 8224089586, 8 clinicians

Practice addresses (Care Compare)

4760 Sawmill Rd
Columbus, OH 43235-3260
Phone (614) 789-9464

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10752OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
P.R. Care, LTD CurrentSince Aug 1, 2025 Accepting new patients

Locations

4760 Sawmill Rd
Columbus, OH 43235
Phone (614) 594-9774

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1912134669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W CHERRY ST",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430749342",
            "telephone_number": "740-965-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W CHERRY ST",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430749342",
            "telephone_number": "740-965-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "RUTH",
        "credential": "DNP, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "10752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, OH

Sources for this page

Verify at the official NPI Registry.