LYNN RUFFOLO (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083471486

LYNN RUFFOLO (APRN) is a healthcare provider. based in St petersburg, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 209031409 (IL). The NPI Number for LYNN RUFFOLO (APRN) is 1083471486

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
LYNN RUFFOLO (APRN)
NPI
1083471486
Phone
(630) 926-3871
Address
626 74TH ST N # NA
Enumeration Date
1 March 2024
Last Update Date
12 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6306868788
Graduation Year
2023 (3 years ago)
PAC ID
0840630539
Group Practice PAC ID
6901089515
Professional Enrollment ID
I20250813000765
Address ID
IL601261610EL188XXDRXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:2State licenses:2Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for LYNN RUFFOLO (APRN)

  • 626 74TH ST N # NA

    ST PETERSBURG, FL 337106746

    Phone: (630) 926-3871

    Type: Mailing

  • 1750 17TH ST STE G

    SARASOTA, FL 342348666

    Phone: (941) 732-6837

    Fax: (941) 331-2540

    Type: Location

  • 959 S Waukegan Rd Fl 2

    Lake Forest, IL 600452654

    Phone: (864) 336-2731

    Fax: (833) 740-3387

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $1,847.

Total Amount is formed as General ($1,847) + Research ($0) + Ownership ($0) = $1,847.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($516).

Total Amount

$1,847

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,847

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240429001423INurse PractitionerFLTBD
I20250813000765INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33710)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901089515View full group profile
NameSpecialtyState
Mental Health CounselorIL
Clinical PsychologistIL
-IL
Mental Health CounselorIL
Nurse PractitionerIL
Mental Health CounselorIL
P S Y C H I A T R YIL
Mental Health CounselorIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Does LYNN RUFFOLO (APRN) have a public NPI I can cite?
Public records show LYNN RUFFOLO (APRN) under NPI 1083471486.
Quick check: is LYNN RUFFOLO (APRN) active?
Public NPPES data shows LYNN RUFFOLO (APRN) with an active NPI status right now.
How should patients interpret LYNN RUFFOLO (APRN)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for LYNN RUFFOLO (APRN). Clinical services aligned with this taxonomy classification.
Can patients visit LYNN RUFFOLO (APRN) in St Petersburg, Florida?
For routing, start with St Petersburg, Florida for LYNN RUFFOLO (APRN), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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