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

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: October 18, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Samantha Ruder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Restore Muscle And Joint, LLC
Same address
Orthopaedic Surgery
4119 NW BARRY RD
Kansas City, MO 64154
  • Reassigned Medicare billing, Missouri enrollment
  • 25 clinicians in this Medicare group
NPI 1962767061 (816) 452-4488
Robert Marriott Medical Corp
460 mi
Surgery
711 MATADOR LN
Mesquite, TX 75149
  • Reassigned Medicare billing, Texas, Kansas and Missouri enrollments
  • Also billed through NPI 1083883938 (Missouri)
  • 46 clinicians in this Medicare group
NPI 1164973012 (877) 878-3289

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 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
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.
81 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.
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
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.
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.

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)
4119 NW BARRY RD
KANSAS CITY, MO 64154
Platte County (816) 452-4488
KELECHI OFODU DPT
Physical Therapist
4119 NW BARRY RD
KANSAS CITY, MO 64154
Platte County (816) 452-4888
CHRISTOPHER E EGORUGWU
Physical Therapist
4119 NW BARRY RD
KANSAS CITY, MO 64154
Platte County (816) 452-4488
MRS. SHALYNN DOMINGUEZ PTA
Physical Therapy Assistant
4119 NW BARRY RD
KANSAS CITY, MO 64154
Platte County (816) 452-4488
RESTORE MUSCLE AND JOINT, LLC
Orthopaedic Surgery
4119 NW BARRY RD
KANSAS CITY, MO 64154
Platte County (816) 452-4488

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 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.

Where is Samantha Ruder located?

Samantha Ruder practices at 4119 NW Barry Rd, Kansas City, MO 64154. The listed phone number is (816) 452-4488.

What is Samantha Ruder's specialty?

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

Is Samantha Ruder enrolled in Medicare?

Yes. Samantha Ruder 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.

Which organizations bill Medicare for Samantha Ruder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Ruder reassigns Medicare benefits to 2 organizations: Restore Muscle And Joint, LLC (Kansas City, MO) and Robert Marriott Medical Corp (Mesquite, TX). Each 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 Samantha Ruder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Ruder accept?

Health plans from Blue Cross and Blue Shield of Kansas City and UnitedHealthcare list Samantha Ruder 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.

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 5 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.