RUTH KANGETHE (APRN) – Family Nurse Practitioner, NPI 1093475659

RUTH KANGETHE (APRN) is a healthcare provider. based in Ormond beach, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11017116 (FL). The NPI Number for RUTH KANGETHE (APRN) is 1093475659

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
RUTH KANGETHE (APRN)
NPI
1093475659
Phone
(386) 615-8971
Address
325 CLYDE MORRIS BLVD STE 340
Enumeration Date
23 December 2021
Last Update Date
7 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4072002300
Graduation Year
2021 (5 years ago)
PAC ID
0648662601
Group Practice PAC ID
3274657721
Professional Enrollment ID
I20220125000659
Address ID
FL347696765SA4660XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for RUTH KANGETHE (APRN)

  • 325 CLYDE MORRIS BLVD STE 340

    ORMOND BEACH, FL 321743199

    Phone: (386) 615-8971

    Type: Location

  • 325 CLYDE MORRIS BLVD

    STE 340

    ORMOND BEACH, FL 321743199

    Phone: (386) 615-8971

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20220125000659INurse PractitionerFLTBD

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 32174)

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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: 3274657721View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerFL
Nurse PractitionerND
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerWI

Reviews

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Frequently asked questions

What is the registry number for RUTH KANGETHE (APRN)?
The registry entry for RUTH KANGETHE (APRN) shows NPI 1093475659.
Does the public listing show RUTH KANGETHE (APRN) as active?
RUTH KANGETHE (APRN)'s NPI record reflects an active status in NPPES.
What services align with RUTH KANGETHE (APRN)'s listing?
RUTH KANGETHE (APRN)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to RUTH KANGETHE (APRN)?
RUTH KANGETHE (APRN) shows a connection to Ormond Beach, Florida in registry-derived data.
Who maintains RUTH KANGETHE (APRN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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