Stephanie Terry Rutz, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2531 Issued in CO

Practice address

380 Empire Rd
Ste 200
Lafayette, CO 80026-2677

Phone

(303) 578-7050

Fax

(303) 926-7359

NPI assigned

Dec 19, 2007

Last updated

Sep 5, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Comprehensive Rehabilitation and Pain Specialists PLLCGroup PAC ID 3779857180, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Rehabilitation & Pain Specialists, PLLC.

  dba Premier Spine & Pain Institute

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Thornton, CO
  • NPI 1639610389
  Medicare reassignment Care Compare group NPD (past)
• Comprehensive Rehabilitation & Pain Specialists, PLLC

  dba Premier Spine & Pain Institute

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Thornton, CO
  • NPI 1114600657
  NPD

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1558545004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 EMPIRE RD",
            "address_2": "STE 200",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262677",
            "telephone_number": "303-578-7050",
            "fax_number": "303-926-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 EMPIRE RD",
            "address_2": "STE 200",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262677",
            "telephone_number": "303-578-7050",
            "fax_number": "303-926-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTZ",
        "first_name": "STEPHANIE",
        "middle_name": "TERRY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA2531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Runstadler, D.O.
• Robyn Russ
• Gary Allen Russell Jr.
• Joshua Patrick Ruszala
• David A Rutherford, DO
• Justin B Rydberg, P.A.
• Natalie Ryder, MA
• Angelique Sabo I
• Sage Dentistry IV PLLC (Family and Implant Dentistry of Lafayette)
• Anush S.a. Sahakian, MD, MPH

• Medical Physician Assistant in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.