RUTH FANFAN (APRN) – Nurse Practitioner, NPI 1386487593

RUTH FANFAN (APRN) is a healthcare provider. based in Wellington, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11033749 (FL). The NPI Number for RUTH FANFAN (APRN) is 1386487593

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
RUTH FANFAN (APRN)
NPI
1386487593
Phone
(561) 798-3030
Address
1037 S State Road 7 Ste 211
Enumeration Date
15 June 2024
Last Update Date
15 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5617983030
Graduation Year
2024 (2 years ago)
PAC ID
3779012554
Group Practice PAC ID
0244611382
Professional Enrollment ID
I20250123001183
Address ID
FL334146139WE1037XRDXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:1State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for RUTH FANFAN (APRN)

  • 1037 S State Road 7 Ste 211

    Wellington, FL 334146139

    Phone: (561) 798-3030

    Fax: (561) 798-8242

    Type: Location

  • 3702 SILVER LACE LN APT 16

    BOYNTON BEACH, FL 334363928

    Phone: (561) 676-5237

    Type: Mailing

  • 777 GLADES RD

    BOCA RATON, FL 334316424

    Phone: (561) 297-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $274.

Total Amount is formed as General ($274) + Research ($0) + Ownership ($0) = $274.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($62).

Total Amount

$274

General + Research + Ownership

Payments

12

Total payment records

General Amount

$274

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2025-01-23

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
I20250123001183INurse 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 33414)

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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: 0244611382View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Family PracticeFL
Internal MedicineFL
Family PracticeIN
Nurse PractitionerFL

Reviews

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Frequently asked questions

What number should I use to identify RUTH FANFAN (APRN) for billing?
Administrative and clinical systems typically use NPI 1386487593 for RUTH FANFAN (APRN).
Does the public listing show RUTH FANFAN (APRN) as active?
RUTH FANFAN (APRN)'s NPI record reflects an active status in NPPES.
Which specialty label fits RUTH FANFAN (APRN)?
NPPES ties RUTH FANFAN (APRN) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is RUTH FANFAN (APRN) tied to Wellington, Florida?
If you are local to Wellington, Florida, RUTH FANFAN (APRN) may be relevant to your search.
Who maintains RUTH FANFAN (APRN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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