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Karen Alejandra Gomez Ruiz, PA-C

Physician Assistant in Rochester, MN. Individual provider (NPI-1).

NPI number1457968703
StatusActive
Last updated in NPPESOct 14, 2022

Details

NPI
1457968703
Entity type
Individual (NPI-1)
Name
Karen Alejandra Gomez Ruiz
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Sep 29, 2020
Certification date
Oct 14, 2022
Last updated
Oct 14, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant14190MNYes

Practice location

200 1st St Sw
Rochester, MN 55905-0002

Phone 507-284-2511

Mailing address

200 1st St Sw
Rochester, MN 55905-0001

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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