Individual provider Active NPI

Kelly Ruse, CNM

  • Advanced Practice Midwife
  • Madison, WI
National Provider Identifier
1497256705
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
150049 Issued in WI
Practice address
2202 S Park St
Madison, WI 53713-1916
Phone
(608) 443-5480
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 832 NM
Advanced Practice Midwife 367A00000X 150049 WI Primary

Addresses

Primary practice location

2202 S Park St
Madison, WI 53713-1916

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other names 1

  • Kelly L Frick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220907000186 NM Practitioner - Certified Nurse Midwife (CNM) 8224412432 Reassigns benefits to 1 organization
I20240401002090 WI Practitioner - Certified Nurse Midwife (CNM) 8224412432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Wisconsin Medical Foundation IncGroup PAC ID 6608785464, 2,537 clinicians

Practice addresses (Care Compare)

20 S Park St
Madison, WI 53715-1348
Phone (608) 287-2076

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Centers, Inc. CurrentSince Feb 18, 2024 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Mar 12, 2024 Accepting new patients
Access Community Health Centers, Inc. CurrentSince Feb 18, 2024 Accepting new patients
La Clinica de Familia, Incorporated CurrentSince Aug 29, 2022 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Mar 12, 2024 Accepting new patients
La Clinica de Familia, Incorporated CurrentSince Aug 29, 2022 Accepting new patients
La Clinica de Familia, Incorporated Current Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

826 Anthony Dr
Anthony, NM 88021
Phone (575) 201-5135

385 Calle de Alegra
Bldg A
Las Cruces, NM 88005
Phone 57552611052444

385 Calle de Alegra
Bldg C
Las Cruces, NM 88005
Phone (575) 521-7181

2402 Winnebago St
Madison, WI 53704
Phone (608) 242-6840

3434 E Washington Ave
Madison, WI 53704
Phone (608) 443-5480

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

20 S Park St
Madison, WI 53715
Phone (608) 287-2090

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

451 Junction Rd
Madison, WI 53717
Phone (608) 263-5010

2901 W Beltline Hwy
Ste 120
Madison, WI 53713
Phone (608) 443-5500

2202 S Park St
Madison, WI 53713
Phone (608) 443-5480

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Organizations & group practices 8

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": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1497256705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537131916",
            "telephone_number": "608-443-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSE",
        "first_name": "KELLY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2024-03-25",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "832",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WI",
            "license": "150049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "FRICK",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.