BRANDON S RUBLE (NP) – Acute Care Nurse Practitioner, NPI 1396255493

BRANDON S RUBLE (NP) is a healthcare provider. based in Springfield, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 2010029945 (MO). The NPI Number for BRANDON S RUBLE (NP) is 1396255493

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON S RUBLE (NP)
NPI
1396255493
Phone
(417) 882-1207
Address
1411 E PRIMROSE ST STE C
Enumeration Date
4 October 2017
Last Update Date
8 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4178853888
Graduation Year
2017 (9 years ago)
PAC ID
2163798851
Group Practice PAC ID
8820083496
Professional Enrollment ID
I20171025000400
Address ID
MO658075210SP3801XAVEX433
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for BRANDON S RUBLE (NP)

  • 1411 E PRIMROSE ST STE C

    SPRINGFIELD, MO 658044377

    Phone: (417) 882-1207

    Fax: (417) 881-7268

    Type: Mailing

  • 220, East Seminole Street, Seminole/Holland, Springfield, Greene County, Missouri, 65807, United States

    SPRINGFIELD, MO 658042227

    Phone: (417) 820-5150

    Type: Mailing

  • 3801 S NATIONAL AVE STE 700

    SPRINGFIELD, MO 658075210

    Phone: (417) 885-3888

    Fax: (417) 881-7268

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Medtronic, Inc. ($46).

Total Amount

$46

General + Research + Ownership

Payments

2

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$46
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: 2017-10-25

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
I20171025000400INurse PractitionerMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion2517$0
22633Fusion of spine in lower back with partial removal of spine bone and disc1616$0
63052Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back1616$0
22840Placement of stabilizing device to back of 1 spine bone in neck1111$0
View full utilization report →

Insurance plans in this area (ZIP 65804)

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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: 8820083496View full group profile

Reviews

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Frequently asked questions

What NPI should I save for BRANDON S RUBLE (NP)?
Save NPI 1396255493 if you need a stable reference for BRANDON S RUBLE (NP).
Is BRANDON S RUBLE (NP) currently active in the NPI registry?
CMS-published data lists BRANDON S RUBLE (NP) as an active registrant.
Does BRANDON S RUBLE (NP) list a primary specialty?
If you are matching referrals, note Acute Care Nurse Practitioner for BRANDON S RUBLE (NP). Clinical services aligned with this taxonomy classification.
Does BRANDON S RUBLE (NP) practice in Missouri?
You will see Springfield, Missouri on file for BRANDON S RUBLE (NP) alongside any extra practice locations.
Is BRANDON S RUBLE (NP) a real provider?
This page reflects official NPPES data for NPI 1396255493. Always confirm identity and privileges with the practice and licensing boards.

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