RUBY L LUCROY CFNP
NPI 1194830398
Nurse Practitioner - Family in Morton, MS
About Ruby L Lucroy Cfnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUBY L LUCROY CFNP (NPI 1194830398) is an individual family provider in Morton, Mississippi, licensed in Mississippi (R543225) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ruby L Lucroy Cfnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ruby Lucroy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Canton, MS 39046
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lucroy's NPI number?
The NPI number for Ruby Lucroy is 1194830398. It was assigned to this individual provider in the NPPES registry on August 20, 2006.
Where is Ruby Lucroy located?
Ruby Lucroy practices at 321 Highway 13 S, Morton, MS 39117. The listed phone number is (601) 732-8612.
What is Ruby Lucroy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ruby Lucroy enrolled in Medicare?
Yes. Ruby Lucroy is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ruby Lucroy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ruby Lucroy reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Canton, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ruby Lucroy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ruby Lucroy was last updated on November 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Ruby L Lucroy, CFNP · NPI 1194830398
Family physician in Morton, Mississippi. Individual provider, active in the CMS NPPES registry since August 20, 2006.
## Identity
- **NPI:** 1194830398 (Entity type: Individual)
- **Enumerated:** August 20, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R543225 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 321 HIGHWAY 13 S, Morton, MS 39117-3353
- **Phone:** (601) 732-8612 · **Fax:** (601) 732-1957
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** State Of Mississippi - University Of Mississippi Medical Center (NPI 1760285936, Canton, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 9, 2013
- **Other identifiers:** Medicaid 00121109 (MS); Medicare UPIN S91031 (MS); Medicare PIN 500000571 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1194830398) · Data from the CMS NPPES public registry.