Individual provider Active NPI

Ann R Rutt, C.N.P.

  • Family Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1356411854
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
04972 Issued in OH
Practice address
18200 Lorain Ave
Cleveland, OH 44111-5605
Phone
(216) 476-7088
Fax
(216) 476-7323
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 04972 OH Primary

Addresses

Primary practice location

18200 Lorain Ave
Cleveland, OH 44111-5605

Mailing address

18200 Lorain Ave
Cleveland, OH 44111-5605
Phone (216) 476-7088

Other identifiers 1

IdentifierTypeStateIssuer
2339179MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050302001097 OH Practitioner - Nurse Practitioner 6608829569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04972OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince Aug 15, 2005 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Apr 28, 2018 Accepting new patients
Fairview Hospital CurrentSince Aug 15, 2005 Accepting new patients
Alternative Body Connections, LLC Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients

Locations

36901 American Way
Avon, OH 44011
Phone (440) 930-6200

18200 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7088

10654 Lorain Ave
Cleveland, OH 44111
Phone (216) 941-1044

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737

Organizations & group practices 5

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356411854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18200 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115605",
            "telephone_number": "216-476-7088",
            "fax_number": "216-476-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18200 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115605",
            "telephone_number": "216-476-7088",
            "fax_number": "216-476-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTT",
        "first_name": "ANN",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "C.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "04972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2339179",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.