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RUBY GRAVROK SOLLEE MD
NPI 1376396911
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since April 11, 2024PECOS Enrolled
2627 SW RIVERSIDE AVE, JACKSONVILLE, FL 32204(904) 308-8434 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 10, 2024, Apr 11, 2024 (2 updates tracked since 2024).

About Ruby Gravrok Sollee Md NPPES

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

RUBY GRAVROK SOLLEE MD (NPI 1376396911) is an individual student in an organized health care education/training program in Jacksonville, Florida, licensed in Florida (39776) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2024).

NPPES Registry Identity

NPI1376396911
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameRUBY GRAVROK SOLLEECredential: MD
Location Address2627 SW RIVERSIDE AVEJacksonville, FL 32204-4717
Mailing Address2627 Riverside AveJacksonville, FL 32204-4717 · (904) 308-8434
Phone(904) 308-8434
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2024
Enumeration DateApril 11, 2024
Last NPPES UpdateJune 15, 20262 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1376396911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in FL · 39776
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2627 SW RIVERSIDE AVE, Jacksonville, FL 32204
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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)

Ruby Gravrok Sollee Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537608773
PECOS Enrollment IDI20260904003520
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 Ruby Sollee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Vincent's Full Service Urgent Care, LLC
9.3 mi
Occupational Medicine
10503 SAN JOSE BLVD
Jacksonville, FL 32257
  • Reassigned Medicare billing, Florida enrollment
  • 78 clinicians in this Medicare group
NPI 1750672051 (904) 379-1203

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

Other Providers at the Same Location NPPES 9

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

KATHERINE ANGELICA LEMUS MPH, DO
Student in an Organized Health Care Education/Training Program
2627 SW RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (786) 338-5034
TIARA DEAN M.D.
Student in an Organized Health Care Education/Training Program
2627 SW RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
PAIGE JENNIFER WILSON DO
Student in an Organized Health Care Education/Training Program
2627 SW RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-8434
ADAM ROBAK
Student in an Organized Health Care Education/Training Program
2627 SW RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (843) 813-3163
TRISHA RUTH LOUIS DO
Student in an Organized Health Care Education/Training Program
2627 SW RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
MORGAN EILEEN MARTINEZ DO
Student in an Organized Health Care Education/Training Program
2627 SW RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
BRIANNA LEBLANC KEMMER MD
Student in an Organized Health Care Education/Training Program
2627 SW RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 308-7372
DR. AUSTIN DOUGLAS VARNI DO
Student in an Organized Health Care Education/Training Program
2627 SW RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (707) 237-1853

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 Sollee's NPI number?

The NPI number for Ruby Sollee is 1376396911. It was assigned to this individual provider in the NPPES registry on April 11, 2024.

Where is Ruby Sollee located?

Ruby Sollee practices at 2627 SW Riverside Ave, Jacksonville, FL 32204. The listed phone number is (904) 308-8434.

What is Ruby Sollee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ruby Sollee enrolled in Medicare?

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

Which organization bills Medicare for Ruby Sollee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruby Sollee reassigns Medicare benefits to St Vincent's Full Service Urgent Care, LLC (Jacksonville, FL). 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 Sollee'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 Sollee was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.