NPIMap

Individual provider Active NPI

Jackie Rae Williams, NP-C

  • Nurse Practitioner
  • Sandusky, OH
National Provider Identifier
1194234146
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.021753 Issued in OH
Practice address
703 Tyler St Ste 351
Sandusky, OH 44870-3391
Phone
(419) 621-7620
Fax
(419) 621-7623
NPI assigned
Sep 21, 2017
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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 APRN.CNP.021753 OH Primary

Addresses

Primary practice location

703 Tyler St Ste 351
Sandusky, OH 44870-3391

Mailing address

2214 Westwind Dr
Sandusky, OH 44870-7010
Phone (419) 706-0071

Other practice location 1

5420 Milan Rd
Sandusky, OH 44870-5846
Phone (419) 557-5052

Other names 1

  • Jackie Ruttino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180725003851 OH Practitioner - Nurse Practitioner 3779830401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

1470W McPherson Hwy
Clyde, OH 43410-1010
Phone (419) 547-0700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.021753OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Jul 29, 2018 Accepting new patients
Firelands Regional Medical Center Current Accepting new patients
North Coast Professional Company, LLC Nurse Practitioner CurrentSince Jul 29, 2018 Accepting new patients

Locations

1400 W Main St
Bellevue, OH 44811
Phone (330) 563-0641

1400 W Main St
Ste A
Bellevue, OH 44811
Phone (419) 483-2494

1470 W McPherson Hwy
Clyde, OH 43410
Phone (419) 547-0700

257 Benedict Ave
Ste 1
Norwalk, OH 44857
Phone (419) 668-1101

292 Benedict Ave
Norwalk, OH 44857
Phone (419) 663-3737

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

5420 Milan Rd
Sandusky, OH 44870
Phone (419) 557-5052

703 Tyler St
Ste 351
Sandusky, OH 44870
Phone (419) 621-7620

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

Interoperability endpoints

  • Direct secure messaging: jackie.ruttino@fpg.medicity.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1194234146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 WESTWIND DR",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448707010",
            "telephone_number": "419-706-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 TYLER ST STE 351",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703391",
            "telephone_number": "419-621-7620",
            "fax_number": "419-621-7623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5420 Milan Rd",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448705846",
            "country_code": "US",
            "telephone_number": "419-557-5052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JACKIE",
        "middle_name": "RAE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.021753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "RUTTINO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.