Roger Wayne Rutledge, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP03572 Issued in LA

Practice address

5328 Cypress St
West Monroe, LA 71291-7506

Phone

(318) 397-3636

Fax

(318) 397-3639

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Care Clinic LLCGroup PAC ID 5597812719, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Allegiance Home Health of Northeast la Home health agency, West Monroe, LA, CCN 197550
• St Francis Medical Center Home Health Home health agency, Monroe, LA, CCN 197091
• Glenwood Regional Medical Center Hospital, West Monroe, LA, CCN 190160
• Fmol Health St Francis Hospital, Monroe, LA, CCN 190125
• Monroe Surgical Hospital Hospital, Monroe, LA, CCN 190245

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Community Care Clinic LLC

  • Primary Care Clinic/Center
  • West Monroe, LA
  • NPI 1265671754
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hsa Glenwood, LLC

  • General Acute Care Hospital
  • West Monroe, LA
  • NPI 1548083421
  Care Compare affiliation
• Louisiana Homecare of Monroe, LLC

  dba St. Francis Medical Center Home Health

  • Home Health Agency
  • Monroe, LA
  • NPI 1295782183
  Care Compare affiliation
• Monroe Surgical Hospital, LLC

  • General Acute Care Hospital
  • Monroe, LA
  • NPI 1225031495
  Care Compare affiliation
• Nursesource Home Care Inc

  dba Allegiance Home Health of Northeast Louisiana

  • Home Health Agency
  • West Monroe, LA
  • NPI 1437185055
  Care Compare affiliation
• St Francis Medical Center, Inc

  • General Acute Care Hospital
  • Monroe, LA
  • NPI 1295723229
  Care Compare affiliation

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1467487728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 THORN DRIVE",
            "city": "CALHOUN",
            "state": "LA",
            "postal_code": "71225",
            "telephone_number": "318-644-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5328 CYPRESS ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917506",
            "telephone_number": "318-397-3636",
            "fax_number": "318-397-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "ROGER",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN073699",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP03572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1567591",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abby Grace Russell, DPT
• Brian Ray Russell, DPT
• Debra Mae Russell, ACNPC, CCRN-CSC
• Michael Shane Russell, DC
• Edward Hampton Rutland, M.D.
• Stacy Rutledge, FNP-C
• Lyndall Saadat, M.D.
• Salt & Light Aesthetics Inc (Salt & Light Medical Clinic)
• Christopher H Salter, M.A.,LAC
• Samer N Roy MD LLC

• Nurse Practitioner in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.

Verify at the official NPI Registry.