Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Samantha A. Ruder, FNP-BC

Individual provider Nurse Practitioner · NPI 1356099691

Mrs. Samantha A. Ruder, FNP-BC is a Nurse Practitioner in Kansas City, Missouri. Qualified in 2021, 5 years ago. Practices with Robert Marriott Medical Corp, a 64-clinician group and accepts Medicare assignment. Licensed in Georgia, Missouri and Texas.

Years since qualifying
5
Licensed in
GA, MO, TX
In the registry since
2022
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

4119 NW Barry Rd
Kansas City, MO 64154-1100
Phone: (816) 452-4488
Fax: (816) 705-3660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2025015135 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 1161910 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence GAA-NP00065 (GA)

Record details

NPI number1356099691
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedMarch 15, 2022
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Robert Marriott Medical Corp — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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