CRYSTAL ANNE RUBY APRN
NPI 1104522853
Nurse Practitioner - Acute Care in Salt Lake City, UT

Active since February 03, 2023PECOS EnrolledAccepts Medicare Assignment
50 N MEDICAL DR, SALT LAKE CITY, UT 84132(801) 581-2121 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2023, Feb 3, 2023 (2 updates tracked since 2023).

About Crystal Anne Ruby Aprn NPPES

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

CRYSTAL ANNE RUBY APRN (NPI 1104522853) is an individual acute care provider in Salt Lake City, Utah, licensed in Utah (10826853-4405) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104522853
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCRYSTAL ANNE RUBYCredential: APRN
Location Address50 N MEDICAL DRSalt Lake City, UT 84132-0001
Mailing Address518 N Hale StGrantsville, UT 84029-9231 · (435) 830-1758
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 3, 2023
Last NPPES UpdateMay 2, 20232 updates tracked since enumeration
NPPES CertifiedMay 2, 2023
NPI 1104522853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in UT · 10826853-4405
50 N MEDICAL DR, Salt Lake City, UT 84132

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Crystal Anne Ruby Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173996311
PECOS Enrollment IDI20230308002557
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
60 services57 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Mountain West Medical Center

Acute Care Hospitals · Tooele, UT
OwnershipProprietary
CMS Certification Number460014
Location2055 North Main StreetTooele, UT 84074 · Tooele County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
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.

Otolaryngology
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Occupational Therapist
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Emergency Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Internal Medicine (Rheumatology)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Physician Assistant (Surgical)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Internal Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Student in an Organized Health Care Education/Training Program
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Registered Nurse
50 N MEDICAL DR
SALT LAKE CITY, UT 84132

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 Crystal Ruby's NPI number?

The NPI number for Crystal Ruby is 1104522853. It was assigned to this individual provider in the NPPES registry on February 3, 2023.

Where is Crystal Ruby located?

Crystal Ruby practices at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 581-2121.

What is Crystal Ruby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Crystal Ruby enrolled in Medicare?

Yes. Crystal Ruby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Crystal Ruby accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Crystal Ruby as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Crystal Ruby affiliated with any hospitals?

According to CMS data, Crystal Ruby is affiliated with University Of Utah Hospitals And Clinics and Mountain West Medical Center.

When was this NPI record last updated?

The NPPES record for Crystal Ruby was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.