Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since December 13, 2019PECOS EnrolledAccepts Medicare Assignment
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: August 09, 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, maintains a secondary practice location in Southfield, and is a graduate of Wayne State University School Of Medicine (2018).

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
Medical School CMSWayne State University School Of MedicineGraduated 2018
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ruby Nzoma Fnp 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 ID7517323736
PECOS Enrollment IDI20230515000313
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.

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 3

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
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ruby Nzoma accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health 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 39 days 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.