Individual provider Active NPI

Jennifer Rutz, MD

  • Family Medicine Physician
  • Saranac Lake, NY
National Provider Identifier
1396307435
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
317536 Issued in NY
Practice address
2249 State Route 86 Ste 3
Saranac Lake, NY 12983-5646
Phone
(518) 891-3845
Fax
(518) 891-1236
NPI assigned
Jun 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 317536 NY Primary

Addresses

Primary practice location

2249 State Route 86 Ste 3
Saranac Lake, NY 12983-5646

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Other practice location 1

7 Stetson Rd
Tupper Lake, NY 12986-2014
Phone (518) 359-7222

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.rutz.1@1823.direct.athenahealth.com
Direct Messaging Address jennifer.rutz.1@1823.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220922002592 NY Practitioner - Family Practice 9335475912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Rochester School of Medicine and Dentistry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Headwaters Health NetworkGroup PAC ID 7416861208, 221 clinicians

Practice addresses (Care Compare)

7 Stetson Rd
Tupper Lake, NY 12986-2014
Phone (518) 359-7222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Headwaters Health Network Family Medicine Current Accepting new patients
Hudson Headwaters Health Network Family Medicine CurrentSince Sep 12, 2022 Accepting new patients
Hudson Headwaters Health Network Family Medicine CurrentSince Sep 12, 2022 Accepting new patients
Hudson Headwaters Health Network Past Accepting new patients

Locations

9 Carey Rd
Queensbury, NY 12804

2249 State Route 86
Ste 3
Saranac Lake, NY 12983
Phone (518) 891-3845

7 Stetson Rd
Tupper Lake, NY 12986
Phone (518) 359-7000

Interoperability endpoints

  • Direct secure messaging: jennifer.rutz.1@1823.direct.athenahealth.com

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 4

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": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1396307435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 STATE ROUTE 86 STE 3",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835646",
            "telephone_number": "518-891-3845",
            "fax_number": "518-891-1236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Stetson Rd",
            "address_purpose": "LOCATION",
            "city": "Tupper Lake",
            "state": "NY",
            "postal_code": "129862014",
            "country_code": "US",
            "telephone_number": "518-359-7222",
            "fax_number": "518-359-7664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTZ",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "317536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.rutz.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2249 State Route 86 Ste 3",
            "city": "Saranac Lake",
            "state": "NY",
            "country_code": "US",
            "postal_code": "129835646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.rutz.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "7 Stetson Rd",
            "city": "Tupper Lake",
            "state": "NY",
            "country_code": "US",
            "postal_code": "129862014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saranac Lake, NY

Sources for this page

Verify at the official NPI Registry.