Individual provider Active NPI

Colleen Janis Rusk, RN

  • Family Nurse Practitioner
  • Warwick, RI
National Provider Identifier
1609593433
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN04062 Issued in RI
Practice address
307 Greenwich Ave Apt E305
Warwick, RI 02886-1661
Phone
(860) 287-2901
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN59017 RI
Family Nurse Practitioner 363LF0000X APRN04062 RI Primary
Emergency Registered Nurse 163WE0003X RN2322910 MA

Addresses

Primary practice location

307 Greenwich Ave Apt E305
Warwick, RI 02886-1661

Mailing address

307 Greenwich Ave Apt E305
Warwick, RI 02886-1661
Phone (860) 287-2901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20240802001311 RI Practitioner - Nurse Practitioner 0648717025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Armistice Urgent Care and Occupational Health, Inc. 7 clinicians

Practice addresses (Care Compare)

209 - 211 Armistice Blvd
Pawtucket, RI 02860-3242
Phone (401) 725-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2322910MAMDEmergency Registered Nurse
RN59017RIMDSchool Registered Nurse
APRNRIMDAcute Care Nurse Practitioner
APRN04062RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Armistice Urgent Care & Occupational Health, Inc. CurrentSince Jun 11, 2024 Accepting new patients

Locations

209 Armistice Blvd
Pawtucket, RI 02860
Phone (401) 725-4100

Organizations & group practices 1

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": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1609593433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 GREENWICH AVE APT E305",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861661",
            "telephone_number": "860-287-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 GREENWICH AVE APT E305",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861661",
            "telephone_number": "860-287-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSK",
        "first_name": "COLLEEN",
        "middle_name": "JANIS",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "RI",
            "license": "RN59017",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN04062",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MA",
            "license": "RN2322910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.