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

MARIANA CAROLINA RUIZ
NPI 1750238929
Nurse Practitioner - Family in Fort Walton Beach, FL

Active since March 16, 2026PECOS Enrolled
1005 MAR WALT DR, FORT WALTON BEACH, FL 32547(850) 863-6600(850) 862-0977 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 21, 2026, Mar 16, 2026 (2 updates tracked since 2026).

About Mariana Carolina Ruiz NPPES

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

MARIANA CAROLINA RUIZ (NPI 1750238929) is an individual family provider in Fort Walton Beach, Florida, licensed in Florida (11045855) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1750238929
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIANA CAROLINA RUIZ
Location Address1005 MAR WALT DRFort Walton Beach, FL 32547-6707
Mailing Address555 Liberty Ln Nw Unit 301Fort Walton Beach, FL 32547-1491 · (786) 291-2644
Phone(850) 863-6600
Fax(850) 862-0977
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 16, 2026
Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1750238929 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 FL · 11045855
1005 MAR WALT DR, Fort Walton Beach, FL 32547
Open in Google Maps ↗

Other Identifiers 1

Medicaid132000900FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariana Carolina Ruiz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517422025
PECOS Enrollment IDI20260724000717
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 32547 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

PETER H SHIH M.D.
Internal Medicine (Critical Care Medicine)
1005 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 243-0118
DR. TERRY L PAYNE M.D.
Family Medicine
1005 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-6600
LESLIE MARIE ANDERSON LDN RD
Dietitian, Registered
1005 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-6600
DR. KARL WALTER METZ M.D.
Obstetrics & Gynecology (Gynecology)
1005 MAR WALT DR, LABORATORY
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8109
WHITE-WILSON MEDICAL CENTER, P.A.
Family Medicine
1005 MAR WALT DR, FP DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-6600
BRIANNE FREEL
Nurse Practitioner (Family)
1005 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-6600
MICHAEL ANDREW JOHNSON PA-C
Physician Assistant
1005 MAR WALT DR, INTERNAL MEDICINE DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8202
MR. FABIAN RODRIGUEZ NP
Nurse Practitioner (Family)
1005 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8100

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 Mariana Ruiz's NPI number?

The NPI number for Mariana Ruiz is 1750238929. It was assigned to this individual provider in the NPPES registry on March 16, 2026.

Where is Mariana Ruiz located?

Mariana Ruiz practices at 1005 Mar Walt Dr, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-6600.

What is Mariana Ruiz's specialty?

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

Is Mariana Ruiz enrolled in Medicare?

Yes. Mariana Ruiz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mariana Ruiz was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.