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Deactivated NPI 1326085846 Deactivated / Inactive NPI Female Practitioner

Mary Ruth , FNP

Nurse Practitioner • Cottage Grove, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mary Ruth has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 01, 2006
NPI Deactivation Date April 10, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Mary Ruth, FNP was a registered Nurse Practitioner practicing in Cottage Grove, OR. Throughout an active medical career spanning 19 years, Mary Ruth provided care at the practice location at 1445 GATEWAY BLVD until profile deactivation on 2025-04-10.

Historical Medicare Part B clinical services included subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, chronic care management services, first, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1445 Gateway Blvd

Cottage Grove, OR 974241224

Telephone 5419427000
Fax 5419425550
Associated Practice Facility / Clinic
🏢 Icco Llc Facility NPI 1750492906

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Cottage Grove, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Cottage Grove, OR (615 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
144 25 $220.00 $87.63
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
63 21 $130.00 $51.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
54 21 $152.00 $60.58
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
49 17 $100.00 $39.33
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
23 14 $312.00 $124.91

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OR 200050114NP

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Irene Wolf , DNP, APRN, FNP-C

Nurse Practitioner - Family

NPI 1023443173

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Nancy Worley , PT

Physical Medicine & Rehabilitation

NPI 1093714701

Physical Therapist

Dr. Thomas Firth , MD

Internal Medicine

NPI 1215936661

Doctor of Medicine (M.D.)

Judith Stensland , FNP

Family Medicine

NPI 1225001720

Family Nurse Practitioner

Patrick Sarver

Family Medicine

NPI 1487784443
Dr. Larry Jackson , MD

Family Medicine

NPI 1578880548

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
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NPI Profile Deactivated April 10, 2025

Record deactivated on April 10, 2025

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Updated Business Mailing Address January 10, 2019

Registered at 2051 KAEN RD STE 367, OREGON CITY, OR 970454035 (Tel: 5037425300)

NPI Profile Active August 31, 2017

NPI status registered as active in NPPES database

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Updated Practice Location August 31, 2017

Registered at 1445 GATEWAY BLVD, COTTAGE GROVE, OR 974241224 (Tel: 5419427000)

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Updated Business Mailing Address August 31, 2017

Registered at 1445 GATEWAY BLVD, COTTAGE GROVE, OR 974241224 (Tel: 5419427000)

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Provider Name / Credentials Updated August 31, 2017

Recorded as MARY RUTH, FNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2017

Nurse Practitioner (License #200050114NP in OR)

NPI Profile Active January 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2015

Registered at 1445 GATEWAY BLVD, COTTAGE GROVE, OR 974241224 (Tel: 5419427000)

📍
Updated Business Mailing Address January 20, 2015

Registered at 1445 GATEWAY BLVD, COTTAGE GROVE, OR 974241224 (Tel: 5419427000)

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Provider Name / Credentials Updated January 20, 2015

Recorded as MARY RUTH, FNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2015

Nurse Practitioner (License #200050114NP in OR)

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Initial NPI Registration & Enumeration June 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326085846
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2006
Last Update: January 20, 2015
Deactivation Date: April 10, 2025

Mailing Address

1445 Gateway Blvd

Cottage Grove, OR 974241224

Phone: 5419427000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.