Individual provider Active NPI

Paula May Rutledge, FNP-BC

  • Nurse Practitioner
  • Middletown, DE
National Provider Identifier
1164428793
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG0000284 Issued in DE
Practice address
306 E Main St
Middletown, DE 19709-1482
Phone
(302) 652-2455
Fax
(302) 322-6251
NPI assigned
Jun 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG0000284 DE Primary

Addresses

Primary practice location

306 E Main St
Middletown, DE 19709-1482

Mailing address

2 Penns Way 412
New Castle, DE 19720-2407
Phone (302) 652-2455

Other practice location 1

1020 Forrest Ave Ste 1
Dover, DE 19904-2799
Phone (302) 678-4622

Other names 1

  • Mrs. Paula Watson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20081209000562 DE Practitioner - Nurse Practitioner 7214098292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trinity Medical Associates, PAGroup PAC ID 8921252941, 13 clinicians

Practice addresses (Care Compare)

5209 W Woodmill Dr
Suite 35
Wilmington, DE 19808-4068
Phone (302) 762-6675

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Associates PA CurrentSince Sep 12, 2022 Accepting new patients
Trinity Emotional Resilience Services LLC PastSince Sep 12, 2022 Accepting new patients

Locations

102 Sleepy Hollow Dr
Ste 102
Middletown, DE 19709
Phone (302) 376-3520

2055 Limestone Rd
Ste 101
Wilmington, DE 19808
Phone (302) 762-6675

410 Foulk Rd
Ste 200B
Wilmington, DE 19803
Phone (302) 561-4202

5209 W Woodmill Dr
Ste 35
Wilmington, DE 19808
Phone (302) 762-6675

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17876/brand/1/csg/1/fhir/r4
  • Direct secure messaging: paula.rutledge.1@17876.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164428793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PENNS WAY 412",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197202407",
            "telephone_number": "302-652-2455",
            "fax_number": "302-322-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091482",
            "telephone_number": "302-652-2455",
            "fax_number": "302-322-6251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Forrest Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199042799",
            "country_code": "US",
            "telephone_number": "302-678-4622",
            "fax_number": "302-678-2292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "PAULA",
        "middle_name": "MAY",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG0000284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "WATSON",
            "prefix": "MRS.",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, DE

Sources for this page

Verify at the official NPI Registry.