DR. RUBY NZOMA FNP
NPI 1609414218
Nurse Practitioner - Family in Detroit, MI

Active since December 13, 2019PECOS Enrolled
3901 CHRYSLER DR STE 4A, DETROIT, MI 48201(313) 966-7601 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 8, 2026, Dec 13, 2019 (2 updates tracked since 2019).

About Dr. Ruby Nzoma Fnp NPPES

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

DR. RUBY NZOMA FNP (NPI 1609414218) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704217736) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Southfield.

NPPES Registry Identity

NPI1609414218
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. RUBY NZOMACredential: FNP
Location Address3901 CHRYSLER DR STE 4ADetroit, MI 48201-2167
Mailing Address400 Mack AveDetroit, MI 48201-2136
Sole ProprietorNo
Enumeration DateDecember 13, 2019
Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1609414218 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 MI · 4704217736
3901 CHRYSLER DR STE 4A, Detroit, MI 48201

Other Names 1

Professional Name (2)Ruby Ndeve Nzoma Fnp

Secondary Practice Location 1

Location 125774 Dunbar StSouthfield, MI 48033-5859 · Phone (313) 204-0925

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ruby Nzoma Fnp 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.

Medicare Billing Reassignments

2

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

Counselor
3901 CHRYSLER DR, TOLAN PARK
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 731 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
611 MARTIN LUTHER KING JR BLVD
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 23 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 4

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

Nurse Practitioner (Family)
3901 CHRYSLER DR STE 4A
DETROIT, MI 48201
Internal Medicine
3901 CHRYSLER DR STE 4A
DETROIT, MI 48201
Nurse Practitioner (Family)
3901 CHRYSLER DR STE 4A
DETROIT, MI 48201
Internal Medicine (Infectious Disease)
3901 CHRYSLER DR STE 4A
DETROIT, MI 48201

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 Nzoma's NPI number?

The NPI number for Ruby Nzoma is 1609414218. It was assigned to this individual provider in the NPPES registry on December 13, 2019. The provider is also known as Ruby Ndeve Nzoma Fnp.

Where is Ruby Nzoma located?

Ruby Nzoma practices at 3901 Chrysler Dr Ste 4A, Detroit, MI 48201. The listed phone number is (313) 966-7601.

What is Ruby Nzoma's specialty?

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

Is Ruby Nzoma enrolled in Medicare?

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

Which organizations bill Medicare for Ruby Nzoma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruby Nzoma reassigns Medicare benefits to 2 organizations: University Physician Group (Detroit, MI) and Detroit Community Health Connection, Inc (Detroit, MI). 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 Ruby Nzoma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ruby Nzoma accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Ruby Nzoma 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 Ruby Nzoma was last updated on July 8, 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.