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RUBY FRY
NPI 1093668923
Social Worker - Clinical in Minneapolis, MN

Active since February 19, 2026PECOS Enrolled
4222 NICOLLET AVE UNIT 404, MINNEAPOLIS, MN 55409(507) 420-0098 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ruby Fry NPPES

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

RUBY FRY (NPI 1093668923) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (32222) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1093668923
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameRUBY FRY
Location Address4222 NICOLLET AVE UNIT 404Minneapolis, MN 55409-1680
Mailing Address4222 Nicollet Ave Unit 404Minneapolis, MN 55409-1680 · (507) 420-0098
Phone(507) 420-0098
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
✔ NPI 1093668923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 32222
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4222 NICOLLET AVE UNIT 404, Minneapolis, MN 55409
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Fry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941775431
PECOS Enrollment IDI20260413001614
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 55409 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
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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 Fry's NPI number?

The NPI number for Ruby Fry is 1093668923. It was assigned to this individual provider in the NPPES registry on February 19, 2026.

Where is Ruby Fry located?

Ruby Fry practices at 4222 Nicollet Ave Unit 404, Minneapolis, MN 55409. The listed phone number is (507) 420-0098.

What is Ruby Fry's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ruby Fry enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ruby Fry was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.