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MS. RUBY EZRA A-GNP
NPI 1699088898
Nurse Practitioner - Adult Health in Port Jefferson Station, NY

Active since July 16, 2010PECOS Enrolled
86.49/100
CMS Quality Rating
163 STUYVESANT DR, PORT JEFFERSON STATION, NY 11776(631) 342-7514 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 2, 2021, Oct 24, 2018 (2 updates tracked since 2018).

About Ms. Ruby Ezra A-gnp NPPES

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

MS. RUBY EZRA A-GNP (NPI 1699088898) is an individual adult health provider in Port Jefferson Station, New York, licensed in New York (F308975-1) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699088898
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. RUBY EZRACredential: A-GNP
Location Address163 STUYVESANT DRPort Jefferson Station, NY 11776-4251
Mailing Address163 Stuyvesant DrPort Jefferson Station, NY 11776-4251 · (347) 596-6026
Phone(631) 342-7514
Sole ProprietorYes
Enumeration DateJuly 16, 2010
Last NPPES UpdateJuly 2, 20212 updates tracked since enumeration
NPPES CertifiedJuly 2, 2021
✔ NPI 1699088898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F308975-1
Also ListedRegistered NurseTaxonomy 163W00000X · License 569398-1 (NY)
163 STUYVESANT DR, Port Jefferson Station, NY 11776
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Ruby Ezra A-gnp 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.

Areas of Expertise CMS Part B claims 5

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
5,779 services509 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
2,418 services326 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
383 services119 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
218 services78 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11776 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

86.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost24.36

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$67.50 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

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

MS. DIANE HENDRIKS LPN
Licensed Practical Nurse
163 STUYVESANT DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (347) 596-6027

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 Ezra's NPI number?

The NPI number for Ruby Ezra is 1699088898. It was assigned to this individual provider in the NPPES registry on July 16, 2010.

Where is Ruby Ezra located?

Ruby Ezra practices at 163 Stuyvesant Dr, Port Jefferson Station, NY 11776. The listed phone number is (631) 342-7514.

What is Ruby Ezra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Ruby Ezra enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ruby Ezra was last updated on July 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.