NICOLE RUOPP – Physician Assistant, NPI 1750910873
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NICOLE RUOPP
11001 SANDISTAN DR
SAINT LOUIS, MO 631465584
Phone: (763) 464-7344
Type: Mailing
2432 E MAIN ST
JACKSON, MO 637552487
Phone: (573) 755-2305
Type: Location
2294 164TH AVE NW
ANDOVER, MN 553042156
Phone:
Type: Mailing
2294 164th Ave NW
Andover, MN 553042156
Phone: (763) 464-7344
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: 2021-10-20
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 |
|---|---|---|---|---|
| I20211020000100 | I | Physician Assistant | MO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 215 | 197 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 200 | 20 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 68 | 15 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 44 | 40 | $0 |
| 81002 | Urinalysis, manual test | 30 | 28 | $0 |
Insurance plans in this area (ZIP 63146)
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