LYNN RUFFOLO (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083471486
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences Inc. | $516 |
| Axsome Therapeutics, Inc. | $214 |
| Otsuka America Pharmaceutical, Inc. | $193 |
| ABBVIE INC. | $164 |
| E.R. Squibb & Sons, L.L.C. | $163 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240429001423 | I | Nurse Practitioner | FL | TBD |
| I20250813000765 | I | Nurse Practitioner | IL | TBD |
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.
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
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IL | |
| Clinical Psychologist | IL | |
| - | IL | |
| Mental Health Counselor | IL | |
| Nurse Practitioner | IL | |
| Mental Health Counselor | IL | |
| P S Y C H I A T R Y | IL | |
| Mental Health Counselor | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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