Stephanie Rutterbush, MD
Individual provider Active NPI Family Medicine Physician · Lewiston, MI
NPI 1649652298 · NPPES record last updated Aug 12, 2025
Key facts
- NPI
- 1649652298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301108253 (MI)
- Practice address
- 3040 Bourn St
Lewiston, MI 49756 - Phone
- (989) 786-4877
- Fax
- (989) 731-7929
- NPI assigned
- Jun 19, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Michigan State University College of Human Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Munson Healthcare Otsego Memorial Hospital
Practice addresses (Care Compare)
3040 Bourn St
Lewiston, MI 49756-8134
Phone (989) 786-4877
Hospital & facility affiliations
- Residential Home Health and Hospice
- Munson Healthcare Otsego Memorial Hospital
- Munson Healthcare Grayling Hospital
- Charlevoix Area Hospital
- Munson Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150723007937 | MI | Practitioner - Family Practice | 5890008528 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Otsego Memorial Hospital | Family Medicine | Current |
Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Family Medicine | Current |
Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current |
Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current |
Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients |
Locations
829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
829 N Center Ave
Ste 130
Gaylord, MI 49735
Phone (989) 731-7930
829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860
3040 Bourn St
Lewiston, MI 49756
Phone (989) 731-7777
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
1619 Anderson Rd
Petoskey, MI 49770
Phone (231) 417-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301108253 | MI | Yes |
Addresses
Primary practice location
3040 Bourn St
Lewiston, MI 49756
Mailing address
271 McCoy Rd W
Gaylord, MI 49735-8253
Phone (989) 731-7777
Other practice location 1
1414 W Fair Ave
Marquette, MI 49855-2675
Phone (906) 225-3864
Other practice location 2
829 N Center Ave
Gaylord, MI 49735-1595
Phone (989) 731-7996
Other practice location 3
829 N Center Ave Ste 210
Gaylord, MI 49735-1599
Phone (989) 731-7860
Other practice location 4
1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 417-6010
Other providers in Lewiston, MI
- Jessica Neuroth
- Rite Aid
- Rite Aid of Michigan Inc
- Rite Aid Pharmacy
- Hannah B Russell
- Sheppard Dental Group LLC
- Lisa Ann Stier
- Thunder Bay Community Health Service, Inc
- Thunder Bay Community Health Service, Inc
- Toupin Chiropractic Clinics, P.C.
All providers in Lewiston, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.