Individual provider Active NPI

Cindy G Ruttan, DO

  • Psychiatry Physician
  • Kirksville, MO
National Provider Identifier
1699718254
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R6N11 Issued in MO
Practice address
900 E Laharpe St
Kirksville, MO 63501-4520
Phone
(660) 665-1962
Fax
(660) 665-3989
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X R6N11 MO
Geriatric Psychiatry Physician 2084P0805X R6N11 MO
Psychiatry Physician 2084P0800X R6N11 MO Primary

Addresses

Primary practice location

900 E Laharpe St
Kirksville, MO 63501-4520

Mailing address

PO Box 844715
Kansas City, MO 64184-4715
Phone (417) 761-5000

Other practice location 1

4480 Gretna Rd
Branson, MO 65616-7202
Phone (417) 761-5492

Other practice location 2

1628 Oklahoma Ave
Trenton, MO 64683-2565
Phone (660) 359-4600

Other practice location 3

2015 S Halliburton St
Kirksville, MO 63501-4646
Phone (660) 626-0698

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070226000774 MO Practitioner - Psychiatry 4183726821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burrell IncGroup PAC ID 4486548625, 217 clinicians
Preferred Family Healthcare IncGroup PAC ID 0244256246, 58 clinicians

Practice addresses (Care Compare)

4480 Gretna Rd
Branson, MO 65616-7202
Phone (417) 761-5492

900 E la Harpe St
Kirksville, MO 63501-4520

900 E Laharpe St
Kirksville, MO 63501-4520
Phone (660) 665-1962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R6N11MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Burrell, Inc. CurrentSince Oct 15, 2025 Accepting new patients
Preferred Family Healthcare, Inc. CurrentSince Apr 21, 2022 Accepting new patients
Preferred Family Healthcare, Inc CurrentSince Apr 21, 2022 Accepting new patients
Burrell, Inc. CurrentSince Oct 15, 2025 Accepting new patients

Locations

4480 Gretna Rd
Branson, MO 65616
Phone (417) 334-2114

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

2015 S Halliburton St
Kirksville, MO 63501
Phone (660) 626-0698

900 E Laharpe St
Kirksville, MO 63501

1300 E Bradford Pkwy
#H
Springfield, MO 65804

1628 Oklahoma Ave
Trenton, MO 64683
Phone (660) 359-4600

Organizations & group practices 4

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1699718254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844715",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641844715",
            "telephone_number": "417-761-5000",
            "fax_number": "417-761-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E LAHARPE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014520",
            "telephone_number": "660-665-1962",
            "fax_number": "660-665-3989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4480 Gretna Rd",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656167202",
            "country_code": "US",
            "telephone_number": "417-761-5492",
            "fax_number": "417-336-1204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1628 Oklahoma Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MO",
            "postal_code": "646832565",
            "country_code": "US",
            "telephone_number": "660-359-4600",
            "fax_number": "660-359-4286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 S Halliburton St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635014646",
            "country_code": "US",
            "telephone_number": "660-626-0698",
            "fax_number": "660-626-5872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTTAN",
        "first_name": "CINDY",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MO",
            "license": "R6N11",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MO",
            "license": "R6N11",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "R6N11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

Verify at the official NPI Registry.