RUBY AGENA HERRERA (NP) – Gerontology Nurse Practitioner, NPI 1699936690
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for RUBY AGENA HERRERA (NP)
1035 RED BUD RD NE
CALHOUN, GA 307016010
Phone: (706) 879-4776
Fax: (706) 879-4781
Type: Location
2600, 6th Avenue South, Lake Worth Beach, Palm Beach County, Florida, 33461, United States
BOX 132
LAKE WORTH, FL 334615699
Phone: (770) 334-0476
Type: Mailing
PO BOX 12938
C/O CLINIC MANAGEMENT
CALHOUN, GA 30703
Phone: (706) 602-7800
Type: Mailing
1007 MAYFLOWER RD
FORT PIERCE, FL 349505070
Phone: (786) 715-3164
Type: Mailing
1700 SE HILLMOOR DR STE 500
PORT ST LUCIE, FL 349527536
Phone: (772) 873-1770
Type: Location
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: 2022-07-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220714003570 | I | Nurse Practitioner | GA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 116 | 114 | $0 |
Insurance plans in this area (ZIP 30701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Internal Medicine | NY | |
| - | GA | |
| Internal Medicine | SC | |
| - | KY | |
| H O S P I T A L I S T | SC | |
| Internal Medicine, Hospitalist | TN | |
| Internal Medicine, Hospitalist | SC | |
| Hospitalist, Family Practice, Family Practice | VA | |
| Internal Medicine | GA |
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