MRS. SAMANTHA A. RUDER FNP-BC
NPI 1356099691
Nurse Practitioner in Kansas City, MO

Q: What is Samantha Ruder's NPI number?

The NPI number for Samantha Ruder is 1356099691. It was assigned to this individual provider in the NPPES registry on March 15, 2022.

Q: What is Samantha Ruder's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Ruder was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 15, 2022PECOS EnrolledAccepts Medicare Assignment

4119 NW BARRY RD, KANSAS CITY, MO 64154(816) 452-4488(816) 705-3660 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2026, Sep 16, 2024, Aug 16, 2024 (3 updates tracked since 2024).

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About Mrs. Samantha A. Ruder Fnp-bc NPPES

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

MRS. SAMANTHA A. RUDER FNP-BC (NPI 1356099691) is an individual nurse practitioner in Kansas City, Missouri, licensed in Missouri (2025015135) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356099691

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. SAMANTHA A. RUDERCredential: FNP-BC

Location Address4119 NW BARRY RDKansas City, MO 64154-1100

Mailing Address4119 Nw Barry RdKansas City, MO 64154-1100 · (816) 452-4488 · Fax (816) 705-3660

Phone(816) 452-4488

Fax(816) 705-3660

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 15, 2022

Last NPPES UpdateMay 21, 20263 updates tracked since enumeration

NPPES CertifiedMay 21, 2026

✔ NPI 1356099691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in MO · 2025015135✔ Licensed in TX · 1161910✔ Licensed in GA · GAA-NP00065

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.

4119 NW BARRY RD, Kansas City, MO 64154

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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

Mrs. Samantha A. Ruder Fnp-bc 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 ID7416489315

PECOS Enrollment IDI20250523002264, I20250523002422

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 8

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.

Removal of muscle and/or tissue, each additional 20.0 sq cm or less 11046

This procedure involves the removal of muscle and/or tissue, typically to treat disease or injury. An additional 20.0 square cm or less of tissue may be removed if necessary. The process is performed by a skilled medical professional to ensure your safety and recovery.

243 services14 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

127 services27 patients

Removal of muscle and/or tissue, each additional 20.0 sq cm or less 11046

81 services14 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

58 services23 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

47 services20 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

41 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64154 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

$85.82 typical visit price

range $55.29 – $168.52

Typical copayment $21.45 (range $13.82 – $42.13)

Most-billed visit code 99203

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

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.

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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.

RESTORE VASCULAR AND VEIN CENTERS, LLC

Surgery (Vascular Surgery)