SAMANTHA NICOLE RULEY MD
NPI 1417652207
Student in an Organized Health Care Education/Training Program in Bowling Green, KY

Active since April 03, 2023PECOS Enrolled
250 PARK ST, BOWLING GREEN, KY 42101(270) 796-6540(270) 796-6576 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samantha Nicole Ruley Md NPPES

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

SAMANTHA NICOLE RULEY MD (NPI 1417652207) is an individual student in an organized health care education/training program in Bowling Green, Kentucky and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417652207
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA NICOLE RULEYCredential: MD
Location Address250 PARK STBowling Green, KY 42101-1760
Mailing Address250 Park StBowling Green, KY 42101-1760 · (270) 796-6540 · Fax (270) 796-6576
Fax(270) 796-6576
Sole ProprietorNo
Enumeration DateApril 3, 2023
NPPES CertifiedApril 2, 2023
NPI 1417652207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.

250 PARK ST, Bowling Green, KY 42101

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha Nicole Ruley Md 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.

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.

Nurse Practitioner (Family)
250 PARK ST
BOWLING GREEN, KY 42101
Pathology (Anatomic Pathology & Clinical Pathology)
250 PARK ST
BOWLING GREEN, KY 42101
Pathology (Anatomic Pathology & Clinical Pathology)
250 PARK ST
BOWLING GREEN, KY 42101
Pathology (Anatomic Pathology & Clinical Pathology)
250 PARK ST
BOWLING GREEN, KY 42101
Nurse Anesthetist, Certified Registered
250 PARK ST
BOWLING GREEN, KY 42101
Nurse Anesthetist, Certified Registered
250 PARK ST
BOWLING GREEN, KY 42101
Nurse Anesthetist, Certified Registered
250 PARK ST
BOWLING GREEN, KY 42101
Anesthesiology
250 PARK ST
BOWLING GREEN, KY 42101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417652207, enumerated as an "individual" on April 03, 2023.

The provider is located at 250 PARK ST BOWLING GREEN, KY 42101 and the phone number is (270) 796-6540.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.