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

Individual provider Neonatal-Perinatal Medicine Physician · NPI 1063398303

Ruby Blue Pruitt, PA-C is a Physician Assistant in Hershey, Pennsylvania. Qualified in 2025, 1 year ago. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2025
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

500 University Dr
Hershey, PA 17033-2360
Phone: (717) 531-6597
Fax: (717) 531-7790
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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 MA066909 (PA)
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X · Licence MA066909 (PA)

Record details

NPI number1063398303
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 13, 2025
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025
Mailing address500 University Dr, Mc Ca410, Hershey, PA 17033-2360

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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