SAMARA RUDER (NP-C) – Family Nurse Practitioner, NPI 1669946489
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SAMARA RUDER (NP-C)
201 Main St Ste A
Hobart, IN 463424439
Phone: (219) 476-7246
Type: Location
1928 45th St
Munster, IN 463213917
Phone: (219) 476-7246
Type: Location
2211 Roosevelt Rd
Valparaiso, IN 463832748
Phone: (219) 476-7246
Type: Location
204 Legacy Plz W
LA Porte, IN 463505285
Phone: (219) 476-7246
Type: Location
8183, Magoun Dr, St. John, Lake County, Indiana, 46373, United States
SAINT JOHN, IN 463738888
Phone: (219) 798-3562
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $649.
Total Amount is formed as General ($649) + Research ($0) + Ownership ($0) = $649.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Abbott Laboratories ($557).
Total Amount
$649
General + Research + Ownership
Payments
8
Total payment records
General Amount
$649
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $557 |
| Spinal Simplicity, LLC | $92 |
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: 2023-11-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20190522001406 | I | Nurse Practitioner | IN | TBD |
| I20221010001683 | I | Nurse Practitioner | NM | TBD |
| I20231108002218 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 148 | 123 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 106 | 106 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 63 | 51 | $0 |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 34 | 22 | $0 |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 26 | 26 | $0 |
Insurance plans in this area (ZIP 46342)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management | IN | |
| Diagnostic Radiology | IN | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| A N E S T H E S I O L O G Y | IN | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| Nurse Practitioner | IN | |
| Pain Management, Anesthesiology | IN | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Interventional Radiology, Diagnostic Radiology | MD |
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