Ashley Ruffing
Nurse Practitioner - Gerontology โข Naples, FL
311 9th St N
Naples, FL 341025885
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Ashley Ruffing is listed in NPPES under Nurse Practitioner - Gerontology.
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NPI assigned on February 24, 2017; this date does not establish years in practice.
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Published CMS data list 373 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 250 service units.
- 99215 โ Established patient outpatient office visit: 50 service units.
- 99213 โ Established patient outpatient office visit: 24 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 7 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 912 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) โ 168 prescription fills, including refills.
- Albuterol Sulfate Hfa (Albuterol Sulfate) โ 111 prescription fills, including refills.
- Montelukast Sodium โ 91 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 19 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 75% of clinicians listed under Nurse Practitioner - Gerontology in Naples, FL (2024, 13 clinicians with data). Median for this group: 895. Middle half: 373 to 4,027.
More Medicare Part B services than 60% of clinicians listed under Nurse Practitioner - Gerontology in Florida (2024, 406 clinicians with data). Median for this group: 230. Middle half: 73 to 674.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 24 in 2020 to 373 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
311 9th St N
Naples, FL 341025885
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Nchmd Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
2016
What Public CMS Data Show
Nurse Practitioner - Gerontology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
212 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $41,262 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $31,046 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
1,369 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$308,463 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,150.37 across 57 records.
By nature of payment
- Food and Beverage: $1,150.37 across 57 records.
Reporting-company totals (3 largest of 15)
- GlaxoSmithKline, LLC.: $421.84 across 25 records.
- AstraZeneca Pharmaceuticals LP: $356.97 across 16 records.
- Insmed, Inc.: $51.85 across 3 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
10 years (graduated 2016)
CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Ashley Ruffing has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Ashley Ruffing as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Naples and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 75% of clinicians listed under Nurse Practitioner - Gerontology in Naples, FL (2024, 13 clinicians with data). Median for this group: 895. Middle half: 373 to 4,027.
More Medicare Part B services than 60% of clinicians listed under Nurse Practitioner - Gerontology in Florida (2024, 406 clinicians with data). Median for this group: 230. Middle half: 73 to 674.
Medicare-allowed amount
Close to the middle for clinicians listed under Nurse Practitioner - Gerontology in Naples, FL (2024, 13 clinicians with data). Median for this group: $41,262. Middle half: $24,744 to $122,036.
A higher Medicare-allowed amount than 65% of clinicians listed under Nurse Practitioner - Gerontology in Florida (2024, 406 clinicians with data). Median for this group: $19,344. Middle half: $7,259 to $56,664.
Paid by Medicare
Close to the middle for clinicians listed under Nurse Practitioner - Gerontology in Naples, FL (2024, 13 clinicians with data). Median for this group: $31,046. Middle half: $16,815 to $89,439.
A higher Medicare payment amount than 65% of clinicians listed under Nurse Practitioner - Gerontology in Florida (2024, 406 clinicians with data). Median for this group: $14,357. Middle half: $5,292 to $43,257.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Nurse Practitioner - Gerontology in Naples, FL (2024, 14 clinicians with data). Median for this group: 994. Middle half: 291 to 2,202.
More Part D prescriptions than 65% of clinicians listed under Nurse Practitioner - Gerontology in Florida (2024, 451 clinicians with data). Median for this group: 428. Middle half: 96 to 1,595.
Part D drug cost
A higher Part D drug cost than 65% of clinicians listed under Nurse Practitioner - Gerontology in Naples, FL (2024, 14 clinicians with data). Median for this group: $145,834. Middle half: $15,457 to $311,639.
A higher Part D drug cost than 80% of clinicians listed under Nurse Practitioner - Gerontology in Florida (2024, 451 clinicians with data). Median for this group: $31,668. Middle half: $2,286 to $182,073.
24 active clinicians are listed under Nurse Practitioner - Gerontology with a practice address in Naples, FL (1,068 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Naples
16.7% of these 24 clinicians have the CMS telehealth indicator.
70.8% of these 24 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 1454% from 24 in 2020 to 373 in 2024.
- 2020: 24
- 2021: 54
- 2022: 323
- 2023: 416
- 2024: 373
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Medicare-allowed amount
Medicare-allowed amount increased 1674% from $2,326 in 2020 to $41,262 in 2024.
- 2020: $2,326
- 2021: $4,791
- 2022: $35,826
- 2023: $45,453
- 2024: $41,262
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Paid by Medicare
Paid by Medicare increased 1568% from $1,861 in 2020 to $31,046 in 2024.
- 2020: $1,861
- 2021: $3,471
- 2022: $27,870
- 2023: $33,952
- 2024: $31,046
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 1420% from 60 in 2020 to 912 in 2024.
- 2020: 60
- 2021: 47
- 2022: 255
- 2023: 571
- 2024: 912
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30-day fills
30-day fills increased 2115% from 62 in 2020 to 1,369 in 2024.
- 2020: 62
- 2021: 54
- 2022: 363
- 2023: 801
- 2024: 1,369
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Part D drug cost
Part D drug cost went from $441 in 2020 to $308,463 in 2024.
- 2020: $441
- 2021: $617
- 2022: $93,885
- 2023: $264,765
- 2024: $308,463
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $144.98 in 2022 to $1,150.37 in 2025.
- 2022: $144.98
- 2023: $740.97
- 2024: $997.86
- 2025: $1,150.37
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 57 records totaling $1,150.37.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
TEZSPIRE | General | $74.47 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $34.18 |
| Philips North America LLC |
Food and Beverage
Cash or cash equivalent
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Vest Therapy Und | General | $32.70 |
| United Therapeutics Corporation |
Food and Beverage
In-kind items and services
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Tyvaso | General | $30.89 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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NUCALA | General | $29.36 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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TRELEGY ELLIPTA | General | $29.12 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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NUCALA | General | $27.67 |
| Grifols Shared Services North America, Inc. |
Food and Beverage
In-kind items and services
|
Prolastin-C Liquid | General | $27.17 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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TEZSPIRE | General | $27.09 |
| HARMONY BIOSCIENCES LLC |
Food and Beverage
In-kind items and services
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WAKIX | General | $26.36 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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TRELEGY ELLIPTA | General | $25.46 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $25.46 |
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
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INSPIRE | General | $24.28 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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TRELEGY ELLIPTA | General | $24.24 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
OFEV | General | $24.21 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
AIRSUPRA | General | $23.98 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
TRELEGY ELLIPTA | General | $23.55 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
NUCALA | General | $23.36 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
AIRSUPRA | General | $21.87 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
BREZTRI | General | $21.43 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
TRELEGY ELLIPTA | General | $21.18 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
NUCALA | General | $21.16 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
NUCALA | General | $21.10 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
|
ZERBAXA | General | $20.86 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
NUCALA | General | $20.23 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
250 | 159 | $208.00 | $112.32 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
50 | 44 | $281.00 | $159.18 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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24 | 23 | $139.00 | $79.72 |
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36415
Insertion of needle into vein for collection of blood sample
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13 | 12 | $17.00 | $8.65 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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13 | 13 | $328.00 | $147.14 |
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95012
Test to measure the level of nitric oxide gas
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12 | 11 | $45.00 | $16.28 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
11 | 11 | $211.00 | $98.97 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 168 | 7,860 | $163,214.76 | 47 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 111 | 3,195 | $3,326.69 | 58 |
| Montelukast Sodium | Montelukast Sodium | 91 | 5,800 | $944.44 | 31 |
| Fluticasone Propionate | Fluticasone Propionate | 77 | 3,945 | $1,396.69 | 33 |
| Prednisone | Prednisone | 66 | 1,362 | $342.03 | 43 |
| Ventolin Hfa | Albuterol Sulfate | 56 | 1,245 | $2,949.40 | 27 |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 56 | 2,280 | $33,290.95 | 14 |
| Azelastine Hcl | Azelastine Hcl | 50 | 2,951 | $1,216.16 | 22 |
| Breo Ellipta | Fluticasone/Vilanterol | 49 | 1,770 | $22,952.92 | 13 |
| Pantoprazole Sodium | Pantoprazole Sodium | 37 | 2,610 | $530.27 | 16 |
| Azithromycin | Azithromycin | 26 | 289 | $111.98 | 17 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 20 | 181 | $279.50 | 15 |
| Eliquis | Apixaban | 19 | 721 | $13,763.97 | โ |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 19 | 690 | $3,480.09 | โ |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 18 | 600 | $11,685.72 | โ |
| Symbicort | Budesonide/Formoterol Fumarate | 15 | 750 | $5,716.98 | โ |
| Furosemide | Furosemide | 12 | 545 | $4.86 | โ |
| Advair Diskus | Fluticasone Propion/Salmeterol | 11 | 390 | $2,523.78 | โ |
| Dupixent Pen | Dupilumab | 11 | 308 | $40,731.45 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-02-03NUCC Taxonomy Code: 363LG0600X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20190731002526
FL
8022392042
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
Nchmd Inc
311 9th St N, Naples, FL 341025885
Phone: 2396490440
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Internal Medicine - Pulmonary Disease
Doctor of Medicine (M.D.)
Internal Medicine - Critical Care Medicine
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine - Critical Care Medicine
Doctor of Medicine (M.D.)
Internal Medicine - Pulmonary Disease
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine - Pulmonary Disease
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 311 9TH ST N, NAPLES, FL 341025885 (Tel: 2396248250)
Nurse Practitioner (license number reported to NPPES: FL APRN9481061)
NPI status registered as active in NPPES database
Registered at 5900 S LAKE DR, CUDAHY, WI 531103171 (Tel: 4144899000)
Registered at 5900 S LAKE DR, CUDAHY, WI 531103171 (Tel: 4144899000)
Recorded as ASHLEY RUFFING
Nurse Practitioner (license number reported to NPPES: WI 7471-33)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioner - Gerontology Specialists in Naples
- Missy Dishman, APRN
- Esther Pinter, ARNP
- Arusha Heyat, APRN
- Sasha Takala, ARNP
- Sara Walther, ARNP
- Raisa Genao
Mailing Address
5900 S Lake Dr
Cudahy, WI 531103171
Phone: 4144899000