Jennifer Lee Ruch, NP
NPI 1336626209ActiveIndividual· Nurse Practitioner, Pediatrics· Fresno, CA
Nurse Practitioner, Pediatrics (NP) with Richard S Demera MD Inc, practicing in Fresno, California. Their prescriptions cost Medicare Part D more than their services did: $86,728 for 1,238 claims, against $6,940 paid for services in 2024. Regeneron Healthcare Solutions, Inc. was the largest of 15 companies reporting payments in 2025, $2,390 in all, mostly food and beverage. Lists Community Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1336626209 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Jul 24, 2018 |
| Last updated in NPPES | Nov 28, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | 95009443 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 82 |
|---|---|
| Services billed | 302 across 13 procedure codes |
| Paid by Medicare | $6,940 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,238 · 2,898 30-day fills |
|---|---|
| Patients | 313 |
| Total drug cost | $86,728 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Richard S Demera MD IncFresno, CA · 6 clinicians
Hospital affiliation
- Community Regional Medical CenterFresno, CA
Industry payments (Open Payments)
- 2025$2,390 · 119 payments from 15 companies
- 2024$1,550 · 109 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | $569.00 | 18 |
| Astrazeneca Pharmaceuticals LP | $533.09 | 18 |
| Genentech USA, Inc. | $312.90 | 13 |
| Glaxosmithkline, LLC. | $257.90 | 29 |
| Ars Pharmaceuticals Operations, Inc. | $173.02 | 19 |
What the 2025 payments were for
- Food and Beverage$2,330 · 117 payments
- Education$59.76 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 31 pediatric nurse practitioners in Fresno · All pediatric nurse practitioners in California