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RUBY BLUE PRUITT PA-C
NPI 1063398303
Physician Assistant in Hershey, PA

Active since August 13, 2025PECOS Enrolled
500 UNIVERSITY DR, HERSHEY, PA 17033(717) 531-6597(717) 531-7790 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ruby Blue Pruitt Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUBY BLUE PRUITT PA-C (NPI 1063398303) is an individual physician assistant in Hershey, Pennsylvania, licensed in Pennsylvania (MA066909) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1063398303
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRUBY BLUE PRUITTCredential: PA-C
Location Address500 UNIVERSITY DRHershey, PA 17033-2360
Mailing Address500 University Dr, Mc Ca410Hershey, PA 17033-2360 · (717) 531-5208 · Fax (717) 531-0119
Phone(717) 531-6597
Fax(717) 531-7790
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 13, 2025
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1063398303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA066909
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License MA066909 (PA)
500 UNIVERSITY DR, Hershey, PA 17033
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ruby Blue Pruitt Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628575172
PECOS Enrollment IDI20251009002249
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DANIEL MICHAEL WEISS I PA-C
Physician Assistant
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-7299
NICOLE SWALLOW M.D.
Internal Medicine
500 UNIVERSITY DR, H088
HERSHEY, PA 17033
Dauphin County (717) 531-1692
NEERAV GOYAL M.D.
Otolaryngology
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
KARIMA C FITZGERALD M.D.
Surgery (Trauma Surgery)
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8887
DR. ANTHONY SIMON BONAVIA M.D.
Anesthesiology (Critical Care Medicine)
500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033
Dauphin County (717) 531-8521
DR. HIROKO SHIKE MD
Pathology (Clinical Pathology/Laboratory Medicine)
500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033
Dauphin County (717) 531-8615
MARIUM TARIQ M.D.
Family Medicine
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
KANTHI BANGALORE KRISHNA MBBS
Pediatrics (Pediatric Endocrinology)
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (800) 243-1455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ruby Pruitt's NPI number?

The NPI number for Ruby Pruitt is 1063398303. It was assigned to this individual provider in the NPPES registry on August 13, 2025.

Where is Ruby Pruitt located?

Ruby Pruitt practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (717) 531-6597.

What is Ruby Pruitt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ruby Pruitt enrolled in Medicare?

Yes. Ruby Pruitt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ruby Pruitt was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.