Individual provider Active NPI

Sheryl Rust, RD

  • Registered Dietitian
  • River Falls, WI
National Provider Identifier
1306455472
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1300 Issued in MN
Practice address
1629 E Division St
River Falls, WI 54022-1571
Phone
(715) 307-6430
Fax
(715) 307-6405
NPI assigned
Jul 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3233-29 WI
Registered Dietitian 133V00000X 1300 MN Primary

Addresses

Primary practice location

1629 E Division St
River Falls, WI 54022-1571

Mailing address

369 N Glover Rd
Hudson, WI 54016-8152
Phone (715) 441-5960

Other practice location 1

1175 Nininger Rd
Hastings, MN 55033-1056
Phone (651) 404-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address srust414317@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210313000031 WI Practitioner - Registered Dietitian Or Nutrition Professional 2567878754 Reassigns benefits to 2 organizations
I20210313000039 MN Practitioner - Registered Dietitian Or Nutrition Professional 2567878754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

1175 Nininger Rd
Hastings, MN 55033-1056
Phone (651) 404-1000

1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6000

1687 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6432

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Jan 7, 2021 Accepting new patients
Allina Health System CurrentSince Jan 7, 2021 Accepting new patients
Allina Health System CurrentSince Jan 7, 2021 Accepting new patients
Allina Health System CurrentSince Jan 18, 2023 Accepting new patients
Allina Health System Current Accepting new patients

Locations

1175 Nininger Rd
Hastings, MN 55033
Phone (651) 404-1000

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000

1687 E Division St
River Falls, WI 54022
Phone (715) 425-6701

1617 E Division St
River Falls, WI 54022
Phone (715) 307-6600

Interoperability endpoints

  • Direct secure messaging: srust414317@excellian.direct.allina.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1306455472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 N GLOVER RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540168152",
            "telephone_number": "715-441-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 E DIVISION ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540221571",
            "telephone_number": "715-307-6430",
            "fax_number": "715-307-6405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1175 Nininger Rd",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "MN",
            "postal_code": "550331056",
            "country_code": "US",
            "telephone_number": "651-404-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUST",
        "first_name": "SHERYL",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "3233-29",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "1300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srust414317@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "1629 E Division St",
            "city": "River Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "540221571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in River Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.