DR. RUTH MIZE MYERS (MD) – Psychiatry Physician, NPI 1376617449
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
748 PSYCHIATRY in MN
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Provider Addresses for DR. RUTH MIZE MYERS (MD)
14300, Nicollet Court, Burnsville, Dakota County, Minnesota, 55306, United States
SUITE 207
BURNSVILLE, MN 55306
Phone: (952) 898-7578
Fax: (952) 898-7592
Mailing address matches the actual address.
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: 2023-11-21
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20231121002678 | I | Psychiatry | MT | 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 55306)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | MN | 90836 | Psychotherapy, 45 minutes with patient and/or family member | 163 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MT | |
| Hospitalist, Internal Medicine | MT | |
| A N E S T H E S I O L O G Y | MT | |
| - | MT | |
| Family Practice | MT | |
| General Surgery | MT | |
| Physician Assistant | MT | |
| - | VA | |
| Nurse Practitioner | MT | |
| Physician Assistant | UT |
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