RUTH CHAPLEN CNP
NPI 1619096518
Nurse Practitioner in Detroit, MI

Q: What is Ruth Chaplen's NPI number?

The NPI number for Ruth Chaplen is 1619096518. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Q: What is Ruth Chaplen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Ruth Chaplen was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 29, 2007PECOS EnrolledAccepts Medicare Assignment

4100 JOHN R ST, DETROIT, MI 48201(800) 527-6266(313) 576-8381 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Ruth Chaplen Cnp NPPES

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

RUTH CHAPLEN CNP (NPI 1619096518) is an individual nurse practitioner in Detroit, Michigan, licensed in Michigan (4704132027) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Ascension Macomb Oakland Hosp-warren Campus, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1619096518

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameRUTH CHAPLENCredential: CNP

Location Address4100 JOHN R STDetroit, MI 48201-2013

Mailing Address1560 E Maple Rd, Suite 400-credentialingTroy, MI 48083-1138 · (800) 527-6266 · Fax (313) 576-8381

Phone(800) 527-6266

Fax(313) 576-8381

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateMarch 29, 2007

Last NPPES UpdateNovember 3, 2016

✔ NPI 1619096518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704132027

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4100 JOHN R ST, Detroit, MI 48201

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Other Identifiers 1

Medicare PIN0P32180053MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Ruth Chaplen Cnp 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 ID3072790955

PECOS Enrollment IDI20110601000409

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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

37 services16 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230195

Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County

Emergency services

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number230297

Location4100 John RDetroit, MI 48201 · Wayne County

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 20

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

BARBARA ANN KARMANOS CANCER HOSPITAL

Pharmacy (Community/Retail Pharmacy)

4100 JOHN R ST, SUITE HP00RX
DETROIT, MI 48201

Wayne County (313) 576-9350

BARBARA ANN KARMANOS CANCER CENTER

General Acute Care Hospital