Ruth Melody Hornady, APRN, AGACNP
Nurse Practitioner · Alpine, TX
At a glance
2600 N, Tx-118, Alpine, TX 79830
NPPES record updated Nov 17, 2021. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
2600 N, Tx-118Alpine, TX 79830
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2021
- CMS specialties
- Nurse Practitioner
Practice groups
Reported hospital affiliations
- Big Bend Regional Medical Center Alpine, TX
- Midland Memorial Hospital Midland, TX
- Reeves Regional Health Pecos, TX
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Reported clinician measures
Measures below describe reported clinician performance in the stated period. They do not form an overall HCPList rating, and reporting differs between clinicians.
Published clinical measures
- Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
- 65%2024Published MIPS performance rate. Lower rates indicate better performance for this inverse measure. Measure: MIPS_EC_001_overall. Collection type: EHR. Measure denominator: 141.
- Diabetes: Eye Exam
- 5%2024Published MIPS performance rate. Higher rates indicate better performance for this measure. Measure: MIPS_EC_117_overall. Collection type: EHR. Measure denominator: 140.
- Documentation of Current Medications in the Medical Record
- 99%2024Published MIPS performance rate. Higher rates indicate better performance for this measure. Measure: MIPS_EC_130_overall. Collection type: EHR. Measure denominator: 1659.
See all 12 reported measures
- Preventive Care and Screening: Screening for Depression and Follow-Up Plan
- 97%2024Published MIPS performance rate. Higher rates indicate better performance for this measure. Measure: MIPS_EC_134_overall. Collection type: EHR. Measure denominator: 959.
- Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
- 17%2024Published MIPS performance rate. Higher rates indicate better performance for this measure. Measure: MIPS_EC_226_performance. Collection type: EHR. Measure denominator: 98.
- Controlling High Blood Pressure
- 55%2024Published MIPS performance rate. Higher rates indicate better performance for this measure. Measure: MIPS_EC_236_overall. Collection type: EHR. Measure denominator: 286.
- Use of High-Risk Medications in Older Adults
- 20%2024Published MIPS performance rate. Lower rates indicate better performance for this inverse measure. Measure: MIPS_EC_238_overall. Collection type: EHR. Measure denominator: 311.
- Cervical Cancer Screening
- 51%2024Published MIPS performance rate. Higher rates indicate better performance for this measure. Measure: MIPS_EC_309_overall. Collection type: EHR. Measure denominator: 317.
- Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
- 29%2024Published MIPS performance rate. Higher rates indicate better performance for this measure. Measure: MIPS_EC_317_overall. Collection type: EHR. Measure denominator: 959.
- Falls: Screening for Future Fall Risk
- 98%2024Published MIPS performance rate. Higher rates indicate better performance for this measure. Measure: MIPS_EC_318_overall. Collection type: EHR. Measure denominator: 294.
- Closing the Referral Loop: Receipt of Specialist Report
- 20%2024Published MIPS performance rate. Higher rates indicate better performance for this measure. Measure: MIPS_EC_374_overall. Collection type: EHR. Measure denominator: 221.
- HIV Screening
- 10%2024Published MIPS performance rate. Higher rates indicate better performance for this measure. Measure: MIPS_EC_475_overall. Collection type: EHR. Measure denominator: 681.
Source: PY 2024 Clinician Public Reporting: MIPS Measures and Attestations · Published Sep 10, 2026.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Nurse Practitioner
- Taxonomy code
- 363L00000X
- Enumeration date
- Jun 1, 2021
- Record updated
- Nov 17, 2021
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- APRN, AGACNP
Reported taxonomies and licenses
163WC0200X
License reported: 862147 TX
363L00000X · Primary
License reported: 1058619 TX
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2600 N, Tx-118Alpine, TX 79830
- Phone
- (432) 837-3447
Mailing address
1001 W MARFA AVEALPINE, TX 798301656
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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