Active NPI
Mandy Rutter, APRN CRNA
- Certified Registered Nurse Anesthetist
- Escanaba, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704375031
- Practice address
- 3401 Ludington St
Escanaba, MI 49829-1300 - Phone
- (906) 786-5707
- NPI assigned
- Dec 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704375031 | MI | Primary |
Addresses
Primary practice location
3401 Ludington St
Escanaba, MI 49829-1300
Mailing address
8303 M.5 Rd
Gladstone, MI 49837-9081
Phone (501) 350-6420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, MI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone (906) 774-1313
3401 Ludington St
Escanaba, MI 49829-1300
Phone (906) 786-5707
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704375031 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Michigan-Alpena PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Norton Crna PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Drumright Community Hospital LLC | Current | Accepting new patients | |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hatton Anesthesia LLC | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311
205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100
610 W Bypass
Drumright, OK 74030
Phone (918) 382-2300
10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172
111 N Bailey St
Pryor, OK 74361
Phone (918) 824-7791
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
8803 S 101st East Ave
Tulsa, OK 74133
Phone (918) 250-2033
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Brentwood, TN
- NPI 1043818156
MI, Nurse Anesthetist, Certified Registered
-
- Rural Health Clinic/Center
- Laurium, MI
- NPI 1205998713
-
- Critical Access Hospital
- Laurium, MI
- NPI 1326115569
-
- Emergency Care Clinic/Center
- Drumright, OK
- NPI 1528696705
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered, OK
-
- Certified Registered Nurse Anesthetist
- Broken Arrow, OK
- NPI 1265899405
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1770891475
-
- Rural Health Clinic/Center
- Ontonagon, MI
- NPI 1023161932
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1659922201
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Iron Mountain, MI
- NPI 1841188604
-
- Critical Access Hospital
- Escanaba, MI
- NPI 1922058551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1063781623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8303 M.5 RD",
"city": "GLADSTONE",
"state": "MI",
"postal_code": "498379081",
"telephone_number": "501-350-6420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 LUDINGTON ST",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498291300",
"telephone_number": "906-786-5707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTTER",
"first_name": "MANDY",
"credential": "APRN CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-27",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704375031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escanaba, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.