Individual provider Active NPI

Chelsey NA Ruiz, FNP

  • Family Nurse Practitioner
  • Sierra Vista, AZ
National Provider Identifier
1952180259
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
297929 Issued in AZ
Practice address
302 El Camino Real BLDG 11
Sierra Vista, AZ 85635-2860
Phone
(520) 255-5475
NPI assigned
Sep 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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 297929 AZ Primary

Addresses

Primary practice location

302 El Camino Real BLDG 11
Sierra Vista, AZ 85635-2860

Mailing address

302 El Camino Real BLDG 11
Sierra Vista, AZ 85635-2860
Phone (520) 255-5475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240318001315 AZ Practitioner - Nurse Practitioner 3072950799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jeffrey Wilde MD PLLCGroup PAC ID 6901138049, 7 clinicians

Practice addresses (Care Compare)

302 El Camino Real
Suite 11
Sierra Vista, AZ 85635-2860
Phone (520) 255-5475

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Wilde MD PLLC Nurse Practitioner CurrentSince Feb 6, 2024 Accepting new patients

Locations

75 Colonia de Salud
Ste 200B
Sierra Vista, AZ 85635
Phone (520) 320-7999

302 El Camino Real
Ste 11A
Sierra Vista, AZ 85635
Phone (520) 255-5475

302 El Camino Real
Bldg 11
Sierra Vista, AZ 85635
Phone (520) 204-1358

302 El Camino Real
Ste 11
Sierra Vista, AZ 85635
Phone (520) 255-5475

302 El Camino Real
Sierra Vista, AZ 85635
Phone (520) 458-0080

Interoperability endpoints

  • Direct secure messaging: chelsey.ruiz.1@20478.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20478/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 5

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": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1952180259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 EL CAMINO REAL BLDG 11",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352860",
            "telephone_number": "520-255-5475",
            "fax_number": "855-801-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 EL CAMINO REAL BLDG 11",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352860",
            "telephone_number": "520-255-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "CHELSEY",
        "middle_name": "NA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "297929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.