Justin Jon Ritter
Individual provider
Active NPI
Acute Care Nurse Practitioner · Shprock, NM
NPI 1982237640 · NPPES record last updated Dec 22, 2022
Key facts
- NPI
- 1982237640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- APN.0998010-NP (CO)
- Practice address
- US Hwy 491 North
Shprock, NM 87420
- Phone
- (505) 368-6600
- NPI assigned
- Feb 20, 2020
- Sex
- Male
- Sole proprietor
- No
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.
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.26 of 100 (group)
- Quality
- 74.27
- Improvement activities
- 40
- Cost
- 78.06
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20200424000427 |
TX |
Practitioner - Nurse Practitioner |
9234569732 |
Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|
| APN.0998010-NP | CO | MD | Acute Care Nurse Practitioner |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Acute Care Nurse Practitioner |
363LA2100X |
APN.0998010-NP |
CO |
Yes |
Addresses
Primary practice location
US Hwy 491 North
Shprock, NM 87420
Mailing address
PO Box 160
Shiprock, NM 87420-0160
Phone (505) 368-6001
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|
| Direct Messaging Address |
justin.ritter@ihs.gov |
|
|
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.
Verify at the official NPI Registry.