Individual provider Active NPI

Rhonda Rusch, APRN,FNP-BC

  • Family Nurse Practitioner
  • Muskogee, OK
National Provider Identifier
1104417286
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
207761 Issued in OK
Practice address
333 S 38TH St
Muskogee, OK 74401-4937
Phone
(918) 910-5965
NPI assigned
Feb 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP231616 ME
Family Nurse Practitioner 363LF0000X 76647 NM
Family Nurse Practitioner 363LF0000X A177059 IA
Family Nurse Practitioner 363LF0000X 53371 WY
Family Nurse Practitioner 363LF0000X 092876-23 NH
Family Nurse Practitioner 363LF0000X 16019-33 WI
Family Nurse Practitioner 363LF0000X 207761 OK Primary
Family Nurse Practitioner 363LF0000X 53-83682-111 KS
Family Nurse Practitioner 363LF0000X 201478 ND
Family Nurse Practitioner 363LF0000X 1028991 TX
Family Nurse Practitioner 363LF0000X 4704418726 MI
Family Nurse Practitioner 363LF0000X 302453 AZ
Family Nurse Practitioner 363LF0000X C-RXN.0101901-C-NP CO
Family Nurse Practitioner 363LF0000X NP500016680 DC

Addresses

Primary practice location

333 S 38TH St
Muskogee, OK 74401-4937

Mailing address

PO Box 895
Fort Gibson, OK 74434-0895

Other practice location 1

1236 Southridge Ct Ste 200
Hurst, TX 76053-4284
Phone (817) 406-1500

Other practice location 2

6251 Oakmont Blvd
Fort Worth, TX 76132-3119
Phone (682) 250-5700

Other practice location 3

3000 N Litchfield Rd Ste 120
Goodyear, AZ 85395-7802
Phone (949) 484-9517

Other practice location 4

3500 Comanche NW Building E, Ste #15a
Albuquerque, NM 87107
Phone (949) 484-9517

Other practice location 5

2025 Memory Ln Ste 300
Harker Heights, TX 76548-7488
Phone (949) 484-9517

Other practice location 6

20 Foundry St Ste 229
Concord, NH 03301-5419
Phone (949) 484-9517

Other practice location 7

41 Hutchins Dr Building 3 UL-12
Portland, ME 04102-1931
Phone (949) 484-9517

Other practice location 8

7261 S Broadway Ste 14L
Littleton, CO 80122-8019
Phone (949) 484-9517

Other practice location 9

400 Renaissance Ctr Ste 2626
Detroit, MI 48243-1502
Phone (949) 484-9517

Other practice location 10

12345 W 95th St Ste 211
Lenexa, KS 66215-3837
Phone (949) 484-9517

Other names 1

  • Rhonda Casper Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rcasper@lenitylighthospice.com Direct
Direct Messaging Address taclin@vinemedicalcenter.com Health Information Exchange (HIE) Ehab Hanna M.D Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, AZ, ME, CO, NH, KS, NM, MI9 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20210317002175 TX Practitioner - Nurse Practitioner 2264848241 Reassigns benefits to 2 organizations
I20220729000939 OK Practitioner - Nurse Practitioner 2264848241 Reassigns benefits to 1 organization
I20240209001892 AZ Practitioner - Nurse Practitioner 2264848241 Reassigns benefits to 1 organization
I20240819002236 ME Practitioner - Nurse Practitioner 2264848241 Reassigns benefits to 1 organization
I20241001000462 CO Practitioner - Nurse Practitioner 2264848241 Reassigns benefits to 1 organization
I20241022002441 NH Practitioner - Nurse Practitioner 2264848241 Reassigns benefits to 1 organization
I20241023000144 KS Practitioner - Nurse Practitioner 2264848241 Reassigns benefits to 1 organization
I20241202003294 NM Practitioner - Nurse Practitioner 2264848241 Reassigns benefits to 1 organization
I20241203003855 MI Practitioner - Nurse Practitioner 2264848241 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
302453AZMDFamily Nurse Practitioner
C-RXN.0101901-C-NPCOMDFamily Nurse Practitioner
NP500016680DCMDFamily Nurse Practitioner
A177059IAMDFamily Nurse Practitioner
53-83682-111KSMDFamily Nurse Practitioner
CNP231616MEMDFamily Nurse Practitioner
4704418726MIMDFamily Nurse Practitioner
201478NDMDFamily Nurse Practitioner
092876-23NHMDFamily Nurse Practitioner
76647NMMDFamily Nurse Practitioner
207761OKMDFamily Nurse Practitioner
1028991TXMDFamily Nurse Practitioner
16019-33WIMDFamily Nurse Practitioner
53371WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Naga M Javvaji MD PC CurrentSince Jun 15, 2022 Accepting new patients
Jonathan Larson MD PC CurrentSince Oct 2, 2023 Accepting new patients
D&J Grace Team LLC CurrentSince Mar 2, 2021 Accepting new patients
Lenity Light Hospice - Dallas, LLC PastSince Feb 1, 2021 Accepting new patients
Saint Francis Medical Center Past Accepting new patients
Central Texas Holistic Care PLLC Family PastSince Aug 25, 2024 Accepting new patients
Amber Hospice LLC PastSince Feb 1, 2021 Accepting new patients

Locations

3000 N Litchfield Rd
Ste 120
Goodyear, AZ 85395
Phone (623) 282-4078

7261 S Broadway
Ste 14L
Littleton, CO 80122
Phone (719) 349-0557

12345 W 95th St
Ste 211
Lenexa, KS 66215

41 Hutchins Dr
Bldg 3
Portland, ME 04102
Phone (646) 398-0527

400 Renaissance Ctr
Ste 2626
Detroit, MI 48243

20 Foundry St
Ste 229
Concord, NH 03301

2505 Anthem Village Dr
Ste E
Henderson, NV 89052

2505 Anthem Village Dr
Ste F162
Henderson, NV 89052

2505 Anthem Village Dr
Ste F
Henderson, NV 89052

2505 Anthem Village Dr
Ste E162
Henderson, NV 89052

2505 Anthem Village Dr
Henderson, NV 89052

333 S 38th St
Ste A
Muskogee, OK 74401
Phone (918) 682-8631

921 FM 1187 E
Ste A
Crowley, TX 76036
Phone (817) 297-2000

6251 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-5700

2025 Memory Ln
Ste 300
Harker Heights, TX 76548
Phone (254) 987-8802

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1104417286",
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        }
    ],
    "practiceLocations": [
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            "postal_code": "760534284",
            "country_code": "US",
            "telephone_number": "817-406-1500",
            "fax_number": "817-928-5692",
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        {
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        {
            "address_1": "3500 Comanche NW Building E, Ste #15a",
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            "country_code": "US",
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            "fax_number": "949-569-1295",
            "country_name": "United States",
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        },
        {
            "address_1": "2025 Memory Ln Ste 300",
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            "postal_code": "765487488",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Foundry St Ste 229",
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            "state": "NH",
            "postal_code": "033015419",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 Hutchins Dr Building 3 UL-12",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041021931",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7261 S Broadway Ste 14L",
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            "city": "Littleton",
            "state": "CO",
            "postal_code": "801228019",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Renaissance Ctr Ste 2626",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482431502",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12345 W 95th St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662153837",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSCH",
        "first_name": "RHONDA",
        "credential": "APRN,FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP231616",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "76647",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A177059",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "53371",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "092876-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "16019-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "207761",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-83682-111",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "201478",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1028991",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704418726",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "302453",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
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            "license": "C-RXN.0101901-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP500016680",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcasper@lenitylighthospice.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1236 Southridge Ct Ste 200",
            "city": "Hurst",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760534284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taclin@vinemedicalcenter.com",
            "affiliation": "Y",
            "affiliationName": "Ehab Hanna M.D Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6251 Oakmont Blvd",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761323119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RHONDA",
            "last_name": "CASPER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.