Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathrine Rose Ruffalo, PA-C

Individual provider Physician Assistant · NPI 1821774423

Kathrine Rose Ruffalo, PA-C is a Physician Assistant in Omaha, Nebraska. Qualified in 2024, 2 years ago. Practices with Alegent Creighton Clinic, a 947-clinician group and accepts Medicare assignment. Licensed in Iowa and Nebraska.

Years since qualifying
2
Licensed in
IA, NE
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7710 Mercy Rd Ste 3000
Omaha, NE 68124-2350
Phone: (402) 932-1999
Fax: (402) 932-1948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3222 (NE)
Physician Assistant Taxonomy 363A00000X · Licence 131213 (IA)

Record details

NPI number1821774423
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 27, 2023
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Alegent Creighton Clinic — 947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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