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RUBY GODBOLT
NPI 1134573728
Nurse Practitioner - Gerontology in Windsor Mill, MD

Active since April 20, 2016PECOS Enrolled
7001 JOHNNYCAKE RD STE 103, WINDSOR MILL, MD 21244(410) 304-3232(410) 630-3853 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ruby Godbolt NPPES

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

RUBY GODBOLT (NPI 1134573728) is an individual gerontology provider in Windsor Mill, Maryland, licensed in Maryland (R109843) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1134573728
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameRUBY GODBOLT
Location Address7001 JOHNNYCAKE RD STE 103Windsor Mill, MD 21244-2419
Mailing Address7001 Johnnycake Rd Ste 103Windsor Mill, MD 21244-2419 · (410) 304-3232 · Fax (410) 630-3853
Phone(410) 304-3232
Fax(410) 630-3853
Sole ProprietorYes
Enumeration DateApril 20, 2016
Last NPPES UpdateApril 26, 2022
NPPES CertifiedApril 26, 2022
✔ NPI 1134573728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MD · R109843
Also ListedRegistered NurseTaxonomy 163W00000X · License R109843 (MD)
7001 JOHNNYCAKE RD STE 103, Windsor Mill, MD 21244
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Secondary Practice Location 1

Location 19601 Pulaski Park Dr, Suite 416Baltimore, MD 21220-1409 · Phone (410) 933-5678 · Fax (410) 238-7451

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

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 21244 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 2

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

HEALTHY FOLKS MEDICAL CLINIC
Nurse Practitioner
7001 JOHNNYCAKE RD STE 103
WINDSOR MILL, MD 21244
Baltimore County (410) 304-3232
SANARE ACUPUNCTURE & ORIENTAL MEDICINE, LLC
Acupuncturist
7001 JOHNNYCAKE RD STE 103
WINDSOR MILL, MD 21244
Baltimore County (240) 822-3042

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 Godbolt's NPI number?

The NPI number for Ruby Godbolt is 1134573728. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Ruby Godbolt located?

Ruby Godbolt practices at 7001 Johnnycake Rd Ste 103, Windsor Mill, MD 21244. The listed phone number is (410) 304-3232.

What is Ruby Godbolt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Ruby Godbolt enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ruby Godbolt was last updated on April 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.