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CARMEN RUIZ APNP
NPI 1477608529
Nurse Practitioner - Family in Sheboygan, WI

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment
1414 N TAYLOR DR, SHEBOYGAN, WI 53081(920) 476-6300 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 15, 2021, Nov 4, 2021 (2 updates tracked since 2021).

About Carmen Ruiz Apnp NPPES

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

CARMEN RUIZ APNP (NPI 1477608529) is an individual family provider in Sheboygan, Wisconsin, licensed in Wisconsin (2920-033) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1477608529
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARMEN RUIZCredential: APNP
Location Address1414 N TAYLOR DRSheboygan, WI 53081-1988
Mailing Address11430 N Port Washington RdMequon, WI 53092-3414 · (920) 476-6300
Phone(920) 476-6300
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 25, 2007
Last NPPES UpdateNovember 15, 20212 updates tracked since enumeration
NPPES CertifiedNovember 15, 2021
✔ NPI 1477608529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 2920-033
1414 N TAYLOR DR, Sheboygan, WI 53081
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health.Insurance ›

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

Carmen Ruiz Apnp 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 ID7719081157
PECOS Enrollment IDI20070326000011
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 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
152 services119 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services72 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
53 services53 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
21 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services16 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520035
Location3400 Union AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

St Nicholas Hospital

Acute Care Hospitals · Sheboygan, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520044
Location3100 Superior AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520107
Location2300 Western AveManitowoc, WI 54221 · Manitowoc County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims28 services$5.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. LOUIE COULIS M.D.
Internal Medicine (Cardiovascular Disease)
1414 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 458-9800
KENNETH SIEBELS OTR/L
Occupational Therapist
1414 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 476-6300
MICHELLE VINE PT
Physical Therapist
1414 N TAYLOR DR, SUITE 105
SHEBOYGAN, WI 53081
Sheboygan County (920) 459-8475
EMILY JACOBSON DPT
Physical Therapist
1414 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 476-6300
GRANT MICHAEL ROETHEL
Nurse Practitioner
1414 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 476-6300
KRISTOPHER T. KNOUS OD
Optometrist
1414 N TAYLOR DR, SUITE 105
SHEBOYGAN, WI 53081
Sheboygan County (920) 208-7700
DR. ALOYS LOUIS TAUSCHECK JR. M.D.,J.D.
Dermatology
1414 N TAYLOR DR, SUITE 144
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-3376
SHEBOYGAN UROLOGY SPECIALISTS, S.C.
Urology
1414 N TAYLOR DR, SUITE 210
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-4858

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 Carmen Ruiz's NPI number?

The NPI number for Carmen Ruiz is 1477608529. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Carmen Ruiz located?

Carmen Ruiz practices at 1414 N Taylor Dr, Sheboygan, WI 53081. The listed phone number is (920) 476-6300.

What is Carmen Ruiz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carmen Ruiz enrolled in Medicare?

Yes. Carmen Ruiz 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.

What insurance does Carmen Ruiz accept?

Health plans from Network Health list Carmen Ruiz 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.

Is Carmen Ruiz affiliated with any hospitals?

According to CMS data, Carmen Ruiz is affiliated with Aurora Health Care Central Inc, St Nicholas Hospital and Holy Family Memorial.

When was this NPI record last updated?

The NPPES record for Carmen Ruiz was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.