Active NPI
Ruby Sue Nelson, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Payson, UT
National Provider Identifier
1962070615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 202451-8900
- Practice address
- 95 S 100 E Ste 300
Payson, UT 84651-2253 - Phone
- (801) 832-9338
- Fax
- (801) 832-0246
- NPI assigned
- Jun 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 202451-3102 | UT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 202451-8900 | UT | Primary |
Addresses
Primary practice location
95 S 100 E Ste 300
Payson, UT 84651-2253
Mailing address
95 E 100 S
Suite 300
Payson, UT 84651
Phone (801) 382-9338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.69 of 100
- Quality
- 89.02
- Promoting interoperability
- 85
- Improvement activities
- 40
- Cost
- 55.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202451-3102 | UT | MD | Adult Psychiatric/Mental Health Registered Nurse |
| 202451-8900 | UT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Numinus Wellness Ut Inc | Current | Accepting new patients | |
| Deborah a Christensen PHD & Associates, Inc | Current | Accepting new patients |
Locations
248 E 13800 S
Ste 4
Draper, UT 84020
Phone (702) 483-5044
672 W 400 S
Ste 201
Springville, UT 84663
Phone (208) 680-8226
Interoperability endpoints
- ruby.nelson.1@24259.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Psychologist
- Draper, UT
- NPI 1891955936
-
- Psychiatry Physician
- Springville, UT
- NPI 1265092282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1962070615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 E 100 S",
"address_2": "SUITE 300",
"city": "PAYSON",
"state": "UT",
"postal_code": "84651",
"telephone_number": "801-382-9338",
"fax_number": "801-382-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 S 100 E STE 300",
"city": "PAYSON",
"state": "UT",
"postal_code": "846512253",
"telephone_number": "801-832-9338",
"fax_number": "801-832-0246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "RUBY",
"middle_name": "SUE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-17",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "UT",
"license": "202451-3102",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "UT",
"license": "202451-8900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Payson, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.