Holly Jean Ruttan, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.019430 Issued in OH

Practice address

7301 Secor Rd
Lambertville, MI 48144-9737

Phone

(419) 479-5795

NPI assigned

Jul 31, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, MI2 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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Toledo Clinic PLLCGroup PAC ID 8426585142, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Toledo Clinic PLLC

  • Dermatology Physician
  • Wauseon, OH
  • NPI 1326538703

  MI

  Medicare reassignment Care Compare group NPD
• Toledo Clinic Incorporated

  • Internal Medicine Physician
  • Monroe, MI
  • NPI 1669423455
  Medicare reassignment NPD
• Toledo Clinic Incorporated

  • Surgery Physician
  • Toledo, OH
  • NPI 1144217894
  Medicare reassignment NPD
• Toledo Clinic PLLC

  • Dermatology Physician
  • Lambertville, MI
  • NPI 1700842796
  NPD
• Toledo Clinic Incorporated

  • Clinical Medical Laboratory
  • Toledo, OH
  • NPI 1114079167
  NPD
• Toledo Clinic Incorporated

  • Podiatrist
  • Sylvania, OH
  • NPI 1952097073
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1469923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1194278705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 SECOR RD",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449737",
            "telephone_number": "419-479-5795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 S Lafayette St",
            "address_purpose": "LOCATION",
            "city": "South Lyon",
            "state": "MI",
            "postal_code": "481781404",
            "country_code": "US",
            "telephone_number": "947-348-1176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1090 N Shoop Ave",
            "address_purpose": "LOCATION",
            "city": "Wauseon",
            "state": "OH",
            "postal_code": "435671821",
            "country_code": "US",
            "telephone_number": "419-330-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1070 N Shoop Ave",
            "address_purpose": "LOCATION",
            "city": "Wauseon",
            "state": "OH",
            "postal_code": "435671821",
            "country_code": "US",
            "telephone_number": "419-330-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 4th St",
            "address_purpose": "LOCATION",
            "city": "Defiance",
            "state": "OH",
            "postal_code": "435122605",
            "country_code": "US",
            "telephone_number": "419-785-4660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "341 Trenton Ave",
            "address_purpose": "LOCATION",
            "city": "Findlay",
            "state": "OH",
            "postal_code": "458403745",
            "country_code": "US",
            "telephone_number": "567-250-8212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 W Main St",
            "address_purpose": "LOCATION",
            "city": "Woodville",
            "state": "OH",
            "postal_code": "434699723",
            "country_code": "US",
            "telephone_number": "419-724-5820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1136 Country Club Rd Unit C",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492218209",
            "country_code": "US",
            "telephone_number": "517-366-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTTAN",
        "first_name": "HOLLY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-31",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0182767",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kurt M Roecker, D.O.
• Jordan Elizabeth Rogaliner, OD
• William Kristopher Roman, M.A. LPC
• Teresa M Ross, RPH
• Keith Steven Rottman, DDS
• Justin Ryan, FNP-C
• Shana Sadoski
• Jean Marie Scanlon, RN
• Brenda S Schulty, FNP-C
• Schwanger Chiropractic Offices, P.C.

• Family Nurse Practitioner in Lambertville, MI
• Providers in Lambertville, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.