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MRS. BRENDA RUTHRUFF APRN,BC
NPI 1255366852
Nurse Practitioner in Kennesaw, GA

Active since July 11, 2006PECOS Enrolled
750 TOWNPARK LN NW, KENNESAW, GA 30144(404) 365-0966 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Brenda Ruthruff Aprn,bc NPPES

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

MRS. BRENDA RUTHRUFF APRN,BC (NPI 1255366852) is an individual nurse practitioner in Kennesaw, Georgia, licensed in Georgia (RN142969) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255366852
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. BRENDA RUTHRUFFCredential: APRN,BC
Location Address750 TOWNPARK LN NWKennesaw, GA 30144-5579
Mailing Address114 Lucas DrAcworth, GA 30102-7813 · (678) 520-5885
Phone(404) 365-0966
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1255366852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN142969
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
750 TOWNPARK LN NW, Kennesaw, GA 30144
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Brenda Ruthruff Aprn,bc 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.

Medicare Billing Reassignment

Medicare enrollment records show Brenda Ruthruff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Southeast Permanente Medical Group
17 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30144 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.
Clinical Medical Laboratory
750 TOWNPARK LN NW
KENNESAW, GA 30144
Cobb County (770) 514-5426
DR. KIMBERLY DAO-KING M.D.
Pediatrics
750 TOWNPARK LN NW
KENNESAW, GA 30144
Cobb County (800) 611-1811
MS. ANITA RENEE BROWN RPH
Pharmacist
750 TOWNPARK LN NW
KENNESAW, GA 30144
Cobb County (770) 514-5500
GISELE WOGBO
Family Medicine
750 TOWNPARK LN NW
KENNESAW, GA 30144
Cobb County (404) 365-0966
KIMM FREEMAN
Pharmacist (Pain Management)
750 TOWNPARK LN NW
KENNESAW, GA 30144
Cobb County (404) 365-0966
DR. NIKIA LYNETTE GARLAND DO
Family Medicine
750 TOWNPARK LN NW, KAISER PERMANENTE TOWNPARK MEDICAL CENTER
KENNESAW, GA 30144
Cobb County (770) 514-5401
JOSEPH C REYNOLDS II P.A
Physician Assistant
750 TOWNPARK LN NW, KAISER PERMANENTE TOWNPARK COMPREHENSIVE MEDICAL CENTER
KENNESAW, GA 30144
Cobb County (770) 514-5401
MS. NADIA MOHAMMED PA
Physician Assistant
750 TOWNPARK LN NW, KAISER PERMANENTE TOWN PARK COMPREHENSIVE MEDICAL CENTE
KENNESAW, GA 30144
Cobb County (770) 514-5401

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 Brenda Ruthruff's NPI number?

The NPI number for Brenda Ruthruff is 1255366852. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Brenda Ruthruff located?

Brenda Ruthruff practices at 750 Townpark Ln NW, Kennesaw, GA 30144. The listed phone number is (404) 365-0966.

What is Brenda Ruthruff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Brenda Ruthruff enrolled in Medicare?

Yes. Brenda Ruthruff is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brenda Ruthruff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Ruthruff reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). 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 Brenda Ruthruff'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 Brenda Ruthruff was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.