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CARMELITE RUSKOWSKI
NPI 1871238592
Family Medicine - Adult Medicine in Kettering, OH

Active since April 28, 2022PECOS EnrolledAccepts Medicare Assignment
1050 FORRER BLVD STE 250, KETTERING, OH 45420(800) 986-4801(937) 684-9990 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carmelite Ruskowski NPPES

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

CARMELITE RUSKOWSKI (NPI 1871238592) is an individual adult medicine provider in Kettering, Ohio, licensed in Ohio (APRN.CNP.0031226) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dayton, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1871238592
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameCARMELITE RUSKOWSKI
Location Address1050 FORRER BLVD STE 250Kettering, OH 45420-3640
Mailing Address1050 Forrer Blvd Ste 250Kettering, OH 45420-3640 · (800) 986-4801 · Fax (937) 684-9990
Phone(800) 986-4801
Fax(937) 684-9990
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 28, 2022
Last NPPES UpdateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
✔ NPI 1871238592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in OH · APRN.CNP.0031226
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
1050 FORRER BLVD STE 250, Kettering, OH 45420
Open in Google Maps ↗

Secondary Practice Location 1

Location 19000 N Main St #403Dayton, OH 45415 · Phone (937) 836-5171

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

Carmelite Ruskowski 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.

PECOS PAC ID6608350103
PECOS Enrollment IDI20260324000092
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.

Medicare Billing Reassignment

Medicare enrollment records show Carmelite Ruskowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mend Health LLC
0.3 mi
Family
1050 FORRER BLVD
Kettering, OH 45420
  • Reassigned Medicare billing, Ohio enrollment
  • 17 clinicians in this Medicare group
NPI 1760240527 (937) 299-1111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45420 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 6

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

JENNIFER ROTH APRN, FNP-C
Nurse Practitioner
1050 FORRER BLVD STE 250
KETTERING, OH 45420
Montgomery County (800) 986-4801
ANPREET K RANDHAWA
Nurse Practitioner (Family)
1050 FORRER BLVD STE 250
KETTERING, OH 45420
Montgomery County (800) 986-4801
TIMOTHY JAMES HALL
Nurse Practitioner (Family)
1050 FORRER BLVD STE 250
KETTERING, OH 45420
Montgomery County (800) 986-4801
SONIA SUEZETTE FIZET APRN
Nurse Practitioner (Family)
1050 FORRER BLVD STE 250
KETTERING, OH 45420
Montgomery County (800) 986-4801
DORENE (DODIE) L JOHNSON CNP
Nurse Practitioner
1050 FORRER BLVD STE 250
KETTERING, OH 45420
Montgomery County (009) 864-8018
RACHEL MARIE KORTY NP
Nurse Practitioner (Family)
1050 FORRER BLVD STE 250
KETTERING, OH 45420
Montgomery County (800) 986-4801

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 Carmelite Ruskowski's NPI number?

The NPI number for Carmelite Ruskowski is 1871238592. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Where is Carmelite Ruskowski located?

Carmelite Ruskowski practices at 1050 Forrer Blvd Ste 250, Kettering, OH 45420. The listed phone number is (800) 986-4801.

What is Carmelite Ruskowski's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Carmelite Ruskowski enrolled in Medicare?

Yes. Carmelite Ruskowski 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 Carmelite Ruskowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmelite Ruskowski reassigns Medicare benefits to Mend Health LLC (Kettering, OH). 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 Carmelite Ruskowski'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 Carmelite Ruskowski was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.