Active NPI
Janine Arlene Rudnitski, APRN, CNP
- Family Nurse Practitioner
- Sartell, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9319
- Practice address
- 251 County Road 120
Sartell, MN 56303-4872 - Phone
- (320) 202-8949
- Fax
- (320) 257-1733
- NPI assigned
- Jul 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 1342107 | MN | |
| Family Nurse Practitioner | 363LF0000X | 9319 | MN | Primary |
Addresses
Primary practice location
251 County Road 120
Sartell, MN 56303-4872
Mailing address
3251 85TH Ave NE
Sauk Rapids, MN 56379-9807
Phone (320) 761-9018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9319 | Other | MN | STATE OF MINNESOTA BOARD OF NURSING |
Other names 1
- Janine Arlene Rudolph
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | centracare.com | Direct | CentraCare Clinic |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 23Rd St S
Sartell, MN 56377-4765
Phone (320) 202-8949
Hospital & facility affiliations
- Centracare - St. Cloud Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1342107 | MN | MD | Neonatal Intensive Care Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Single Specialty | Current | Accepting new patients |
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic | Single Specialty | Current | Accepting new patients |
| Centracare Clinic | Single Specialty | Past | Accepting new patients |
| Centracare Clinic | Single Specialty | Past | Accepting new patients |
Locations
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
251 County Road 120
Sartell, MN 56303
Phone (320) 202-8949
Interoperability endpoints
- jrudnitski645308@direct.centracare.com
Organizations & group practices 5
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.
-
- Occupational Medicine Clinic/Center
- Saint Cloud, MN
- NPI 1366192759
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1811150618
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1043269798
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Saint Cloud, MN
- NPI 1467615294
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1841502929
-
- Psychiatric Hospital Unit
- Saint Cloud, MN
- NPI 1932419058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1619600426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3251 85TH AVE NE",
"city": "SAUK RAPIDS",
"state": "MN",
"postal_code": "563799807",
"telephone_number": "320-761-9018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 COUNTY ROAD 120",
"city": "SARTELL",
"state": "MN",
"postal_code": "563034872",
"telephone_number": "320-202-8949",
"fax_number": "320-257-1733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDNITSKI",
"first_name": "JANINE",
"middle_name": "ARLENE",
"credential": "APRN, CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-08",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "MN",
"license": "1342107",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "9319",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MINNESOTA BOARD OF NURSING",
"identifier": "9319",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "centracare.com",
"affiliation": "Y",
"endpointDescription": "work",
"affiliationName": "CentraCare Clinic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "HIE",
"address_1": "251 County Road 120",
"city": "Saint Cloud",
"state": "MN",
"country_code": "US",
"postal_code": "563034872",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JANINE",
"last_name": "RUDOLPH",
"middle_name": "ARLENE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sartell, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.