Individual provider Active NPI

Melissa Lauren Rutkin, FNP-C

  • Family Nurse Practitioner
  • Doylestown, PA
National Provider Identifier
1255008504
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024286 Issued in PA
Practice address
103 Progress Dr Ste 300
Doylestown, PA 18901-2511
Phone
(215) 447-3630
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP024286 PA Primary
Internal Medicine Physician 207R00000X SP024286 PA

Addresses

Primary practice location

103 Progress Dr Ste 300
Doylestown, PA 18901-2511

Mailing address

103 Progress Dr Ste 300
Doylestown, PA 18901-2511
Phone (215) 447-3630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210909000093 PA Practitioner - Nurse Practitioner 3274939772 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bucks Thyroid and Endocrine Care LLCGroup PAC ID 2365743655, 3 clinicians

Practice addresses (Care Compare)

301 Oxford Valley Rd
Suite 1711
Yardley, PA 19067-7711
Phone (267) 274-5050

301 Oxford Valley Rd
Suite 1803a
Yardley, PA 19067-7725

Hospital & facility affiliations

  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Merit-based Incentive Payment System (MIPS)

Final score
92.24 of 100Reported as group
Quality
95.44
Improvement activities
40
Cost
80.21

Merit-based Incentive Payment System (MIPS)

Final score
92.11 of 100Reported as group
Quality
96.25
Improvement activities
40
Cost
78.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP024286PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks Thyroid & Endocrine Care LLC CurrentSince Jan 17, 2024 Accepting new patients
Doylestown Thyroid & Endocrine Associates, LLC Internal Medicine CurrentSince Oct 4, 2021 Accepting new patients
Pulmonary and Sleep Associates of Mercer-Bucks PastSince Sep 1, 2024 Accepting new patients
Doylestown Orthopaedic Specialists PC PastSince Aug 29, 2021 Accepting new patients

Locations

103 Progress Dr
Ste 300
Doylestown, PA 18901
Phone (215) 345-5840

301 Oxford Valley Rd
Ste 1711
Yardley, PA 19067
Phone (267) 274-5050

301 Oxford Valley Rd
Ste 1803A
Yardley, PA 19067
Phone (215) 754-5050

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAADAD/Endpoint/FAADAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FAADAD

Organizations & group practices 4

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 3

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": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1255008504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PROGRESS DR STE 300",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012511",
            "telephone_number": "215-447-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PROGRESS DR STE 300",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012511",
            "telephone_number": "215-447-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTKIN",
        "first_name": "MELISSA",
        "middle_name": "LAUREN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024286",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "SP024286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.