KATHERINE RUIZ (PA-C) – Medical Physician Assistant, NPI 1134675978
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in VA
Provider Addresses for KATHERINE RUIZ (PA-C)
PO BOX 189
COLONIAL HEIGHTS, VA 238340189
Phone: (804) 526-6062
Fax: (804) 526-9094
Type: Mailing
110 Dunlop Circle Dr
Colonial Heights, VA 238341818
Phone: (804) 526-6062
Fax: (804) 526-9094
Type: Location
PO BOX 751649
CHARLOTTE, NC 282751649
Phone: (888) 472-0043
Type: Mailing
110, Dunlop Circle Drive, Dunlop Village Shopping Center, Dunlop, Colonial Heights, Hopewell (city), Virginia, 23834, United States
COLONIAL HEIGHTS, VA 238341818
Phone: (804) 526-6062
Fax: (804) 526-9094
Type: Location
1400 HOSPITAL DR
MT PLEASANT, SC 294643255
Phone: (843) 884-1341
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-08-28 • Largest payer in this snapshot: ABBVIE INC. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $20 |
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: 2024-02-15
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 |
|---|---|---|---|---|
| I20240215003575 | I | Physician Assistant | SC | 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 23834)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | SC | |
| - | SC | |
| Emergency Medicine | IN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.