Active NPI
Jessica Lynn Rusciano
- Women's Health Nurse Practitioner
- Crystal, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 13084
- Practice address
- 5109 36TH Ave N
Crystal, MN 55422-2007 - Phone
- (763) 587-7999
- NPI assigned
- Jul 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 13084 | MN | Primary |
| Registered Nurse | 163W00000X | 2491204 | MN |
Addresses
Primary practice location
5109 36TH Ave N
Crystal, MN 55422-2007
Mailing address
2713 Colorado Ave S
Minneapolis, MN 55416-1824
Phone (952) 451-1815
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jessica.rusciano@nor.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Minnesota Medical School, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5109 36TH Ave N
Crystal, MN 55422-2007
Phone (763) 587-7900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2491204 | MN | MD | Registered Nurse |
| 13084 | MN | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Clinic, PA | Current | Accepting new patients | |
| North Clinic, PA | Current | Accepting new patients |
Locations
9825 Hospital Dr
Ste 300
Maple Grove, MN 55369
Phone (763) 494-7500
5109 36th Ave N
Minneapolis, MN 55422
Phone (630) 632-2648
9201 W Broadway Ave
Ste 601
Minneapolis, MN 55445
Phone (763) 587-7933
50 Central Ave
Osseo, MN 55369
Phone (612) 588-4625
Interoperability endpoints
- jessica.rusciano@nor.eclinicaldirectplus.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.
-
- Family Medicine Physician
- Brooklyn Park, MN
- NPI 1114962206
-
- Multi-Specialty Clinic/Center
- Brooklyn Park, MN
- NPI 1407011760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1235020355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2713 COLORADO AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554161824",
"telephone_number": "952-451-1815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5109 36TH AVE N",
"city": "CRYSTAL",
"state": "MN",
"postal_code": "554222007",
"telephone_number": "763-587-7999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSCIANO",
"first_name": "JESSICA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-15",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MN",
"license": "13084",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "2491204",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jessica.rusciano@nor.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "5109 36th Ave N",
"city": "Crystal",
"state": "MN",
"country_code": "US",
"postal_code": "554222007",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Crystal, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.