Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JENNIFER RUBY APRN, FNP-BC
NPI 1730063116
Nurse Practitioner - Family in North Las Vegas, NV

Q: What is Jennifer Ruby's NPI number?

The NPI number for Jennifer Ruby is 1730063116. It was assigned to this individual provider in the NPPES registry on July 31, 2025.

Q: What is Jennifer Ruby's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Ruby was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.

Active since July 31, 2025PECOS Enrolled

4040 N MLK BLVD, NORTH LAS VEGAS, NV 89032(702) 715-9817(702) 902-5443 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer Ruby Aprn, Fnp-bc NPPES

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

JENNIFER RUBY APRN, FNP-BC (NPI 1730063116) is an individual family provider in North Las Vegas, Nevada, licensed in Nevada (892444) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1730063116

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER RUBYCredential: APRN, FNP-BC

Location Address4040 N MLK BLVDNorth Las Vegas, NV 89032-3205

Mailing Address4040 N Mlk BlvdNorth Las Vegas, NV 89032-3205 · (702) 715-9817 · Fax (702) 902-5443

Phone(702) 715-9817

Fax(702) 902-5443

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 31, 2025

Last NPPES UpdateJuly 9, 2026

NPPES CertifiedJuly 9, 2026

✔ NPI 1730063116 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 NV · 892444

4040 N MLK BLVD, North Las Vegas, NV 89032

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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)

Jennifer Ruby Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436642501

PECOS Enrollment IDI20251205003517

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 89032 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

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Other Providers at the Same Location NPPES 18

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

GENISHA ROSE TIU SALCEDO FNP-BC

Nurse Practitioner (Family)