MS. ROSE A RUDDY ACNP
NPI 1629383955
Registered Nurse in Pearl River, NY
About Ms. Rose A Ruddy Acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ROSE A RUDDY ACNP (NPI 1629383955) is an individual registered nurse in Pearl River, New York, licensed in New York (485038) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Rose A Ruddy Acnp 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.
Medicare Billing Reassignments
6Medicare enrollment records show Rose Ruddy reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Montvale, NJ 07645
- Reassigned Medicare billing, New Jersey enrollment
- 401 clinicians in this Medicare group
West Harrison, NY 10604
- Reassigned Medicare billing, New York enrollment
- 328 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 428 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 74 clinicians in this Medicare group
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- 315 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 514 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.
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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Rose Ruddy's NPI number?
The NPI number for Rose Ruddy is 1629383955. It was assigned to this individual provider in the NPPES registry on August 11, 2010.
Where is Rose Ruddy located?
Rose Ruddy practices at 262 Blauvelt Rd, Pearl River, NY 10965. The listed phone number is (917) 748-6117.
What is Rose Ruddy's specialty?
The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.
Is Rose Ruddy enrolled in Medicare?
Yes. Rose Ruddy 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.
Which organizations bill Medicare for Rose Ruddy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rose Ruddy reassigns Medicare benefits to 6 organizations: Msk Bergen (Montvale, NJ), Msk Harrison (West Harrison, NY), Memorial Hematology Lymphoma Group (New York, NY), Memorial Urgent Care Group (New York, NY), Memorial Medical Consultation Group (New York, NY) and 1 more organization, listed in the Medicare section above. 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 Rose Ruddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Rose Ruddy was last updated on August 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Ms. Rose A Ruddy, ACNP · NPI 1629383955
Registered Nurse provider in Pearl River, New York. Individual provider, active in the CMS NPPES registry since August 11, 2010.
## Identity
- **NPI:** 1629383955 (Entity type: Individual)
- **Enumerated:** August 11, 2010
- **Primary specialty:** Registered Nurse · taxonomy 163W00000X
- **State license:** 485038 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 262 BLAUVELT RD, Pearl River, NY 10965-2007
- **Phone:** (917) 748-6117
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Msk Bergen (NPI 1558814657, Montvale, NJ); Msk Harrison (NPI 1174923593, West Harrison, NY); Memorial Hematology Lymphoma Group (NPI 1245945021, New York, NY); Memorial Urgent Care Group (NPI 1053364539, New York, NY); Memorial Medical Consultation Group (NPI 1053382523, New York, NY); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** August 11, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1629383955) · Data from the CMS NPPES public registry.