NPIMap

Individual provider Active NPI

Carrie Beth Rutske, APRN, CNP

  • Nurse Practitioner
  • Cloquet, MN
National Provider Identifier
1679223770
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8535 Issued in MN
Practice address
1413 Highway 33 S
Cloquet, MN 55720-2626
Phone
(218) 337-4000
NPI assigned
Mar 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8535 MN Primary

Addresses

Primary practice location

1413 Highway 33 S
Cloquet, MN 55720-2626

Mailing address

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220429000651 MN Practitioner - Nurse Practitioner 3779970371 Reassigns benefits to 5 organizations
I20240104003807 WI Practitioner - Nurse Practitioner 3779970371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical CenterGroup PAC ID 8224948443, 238 clinicians

Practice addresses (Care Compare)

523 N 3Rd St
Brainerd, MN 56401-3054
Phone (218) 828-7400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Essentia Health Moose Lake CurrentSince Mar 13, 2023 Accepting new patients
The Duluth Clinic, LTD. CurrentSince May 23, 2022 Accepting new patients
St Joseph'S Medical Center CurrentSince Jan 15, 2024 Accepting new patients
St. Joseph'S Medical Center Current Accepting new patients
The Duluth Clinic, LTD CurrentSince May 23, 2022 Accepting new patients
The Duluth Clinic, LTD Current Accepting new patients
Pine Medical Center Current Accepting new patients
Pine Medical Center CurrentSince Feb 19, 2024 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
St Joseph'S Medical Center CurrentSince Jan 15, 2024 Accepting new patients
The Duluth Clinic, LTD Current Accepting new patients
Moose Lake Community Hospital District Current Accepting new patients
Essentia Health Moose Lake CurrentSince Mar 13, 2023 Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients

Locations

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

1413 Highway 33 S
Cloquet, MN 55720
Phone (218) 337-4000

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

4212 Grand Ave
Duluth, MN 55807
Phone (218) 786-3500

4855 W Arrowhead Rd
Hermantown, MN 55811
Phone (218) 786-3540

4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481

705 Lundorff Dr
Sandstone, MN 55072
Phone (320) 245-2211

901 9th St N
Virginia, MN 55792
Phone (218) 741-3340

603 9th St N
Virginia, MN 55792
Phone (218) 741-3013

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1679223770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 HIGHWAY 33 S",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557202626",
            "telephone_number": "218-337-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTSKE",
        "first_name": "CARRIE",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "8535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cloquet, MN

Sources for this page

Verify at the official NPI Registry.