RUBY ODAMTTEN PMHNP-BC
NPI 1871161695
Nurse Practitioner - Psychiatric/Mental Health in Longwood, FL
About Ruby Odamtten Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUBY ODAMTTEN PMHNP-BC (NPI 1871161695) is an individual psychiatric/mental health provider in Longwood, Florida, licensed in Florida (APRN11013701) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sanford, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
Ruby Odamtten Pmhnp-bc 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 Reassignment
Medicare enrollment records show Ruby Odamtten reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Winter Park, FL 32792
- Reassigned Medicare billing, Florida enrollment
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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32750 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONGWOOD, FL 32750
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 Odamtten's NPI number?
The NPI number for Ruby Odamtten is 1871161695. It was assigned to this individual provider in the NPPES registry on June 17, 2021.
Where is Ruby Odamtten located?
Ruby Odamtten practices at 587 E State Road 434 Unit 1025, Longwood, FL 32750. The listed phone number is (407) 775-0248.
What is Ruby Odamtten's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Ruby Odamtten enrolled in Medicare?
Yes. Ruby Odamtten 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 organization bills Medicare for Ruby Odamtten's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ruby Odamtten reassigns Medicare benefits to Kharis Ephrata Psychiatric Services LLC (Winter Park, FL). The 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 Ruby Odamtten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ruby Odamtten accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Ruby Odamtten as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ruby Odamtten was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Ruby Odamtten, PMHNP-BC · NPI 1871161695
Psychiatric/Mental Health physician in Longwood, Florida. Individual provider, active in the CMS NPPES registry since June 17, 2021.
## Identity
- **NPI:** 1871161695 (Entity type: Individual)
- **Enumerated:** June 17, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN11013701 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 587 E STATE ROAD 434 UNIT 1025, Longwood, FL 32750-5284
- **Phone:** (407) 775-0248 · **Fax:** (321) 282-1448
## 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:** Kharis Ephrata Psychiatric Services LLC (NPI 1386393106, Winter Park, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1871161695) · Data from the CMS NPPES public registry.