Individual Healthcare Provider
Jay Ruddy, NP
Provider's NPPES record last updated: April 7, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1255756375
- Primary Specialty
- Nurse Practitioner — Adult Health
- Practice Location
- Grayling, Michigan
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 12:18 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Adult Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LA2200X
Provider-Reported License Information
- Nurse Practitioner (Michigan)
- 4704208356
Practice Locations
Practice Location
1010 W North Down River Rd
Grayling, Michigan 49738-2060
Phone: (989) 348-0800
Additional Practice Location
2585 W Houghton Lake Dr
Prudenville, Michigan 48651-9624
Phone: (989) 366-2900
Fax: (989) 366-1166
Additional Practice Location
8872 Professional Dr Ste B
Cadillac, Michigan 49601-8482
Phone: (231) 779-0320
Fax: (231) 779-1367
Additional Practice Location
829 N Center Ave Ste 120
Gaylord, Michigan 49735-1598
Phone: (989) 731-7987
Fax: (989) 731-9151
Additional Practice Location
1105 Sixth St
Traverse City, Michigan 49684-2345
Phone: (231) 779-0320
Fax: (231) 779-1367
Additional Practice Location
1996 Walden Dr
Gaylord, Michigan 49735-8241
Phone: (989) 731-4111
Additional Practice Location
2147 Professional Dr
Gaylord, Michigan 49735-0003
Phone: (989) 732-1753
Record Information
- Enumeration Date
- February 26, 2014
- Provider's NPPES Record Last Updated
- April 7, 2025
- Certification Date
- April 7, 2025
- NPISignal NPPES Dataset
- August 2026
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