NICOLETTE KRISTEN RUELAS
NPI 1942728159
Marriage & Family Therapist in Van Nuys, CA
About Nicolette Kristen Ruelas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLETTE KRISTEN RUELAS (NPI 1942728159) is an individual marriage & family therapist in Van Nuys, California, licensed in California (LMFT124922) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicolette Kristen Ruelas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicolette Ruelas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Panorama City, CA 91402
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1396287082 (California)
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VAN NUYS, CA 91405
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 Nicolette Ruelas's NPI number?
The NPI number for Nicolette Ruelas is 1942728159. It was assigned to this individual provider in the NPPES registry on September 7, 2017.
Where is Nicolette Ruelas located?
Nicolette Ruelas practices at 14550 Sherman Way, Van Nuys, CA 91405. The listed phone number is (818) 901-4879.
What is Nicolette Ruelas's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Nicolette Ruelas enrolled in Medicare?
Yes. Nicolette Ruelas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicolette Ruelas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicolette Ruelas reassigns Medicare benefits to Southern California Permanente Medical Group (Panorama City, CA). 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 Nicolette Ruelas'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 Nicolette Ruelas was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Nicolette Kristen Ruelas · NPI 1942728159
Marriage & Family Therapist provider in Van Nuys, California. Individual provider, active in the CMS NPPES registry since September 7, 2017.
## Identity
- **NPI:** 1942728159 (Entity type: Individual)
- **Enumerated:** September 7, 2017
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** LMFT124922 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 14550 SHERMAN WAY, Van Nuys, CA 91405-2210
- **Phone:** (818) 901-4879
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1407888928, Panorama City, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1942728159) · Data from the CMS NPPES public registry.