Individual provider Active NPI

Lynn M. Von Ruden, NP

  • Nurse Practitioner
  • Wisconsin Rapids, WI
National Provider Identifier
1740596238
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1265 Issued in WI
Practice address
1355 8TH St S
Wisconsin Rapids, WI 54494-5265
Phone
(844) 493-1052
NPI assigned
Aug 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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 1265 WI Primary

Addresses

Primary practice location

1355 8TH St S
Wisconsin Rapids, WI 54494-5265

Mailing address

1355 8TH St S
Wisconsin Rapids, WI 54494-5265

Other names 1

  • Lynn M. Moyer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20040601001113 WI Practitioner - Nurse Practitioner 3274515614 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1265WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Odyssey Healthcare Holding Company CurrentSince Oct 11, 2023 Accepting new patients
HCR Manorcare Medical Services of Florida LLC Nurse Practitioner CurrentSince Aug 16, 2022 Accepting new patients
Marshfield Clinic Inc CurrentSince Sep 27, 2010 Accepting new patients
Memorial Hospital Inc CurrentSince Oct 1, 2019 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 25, 2018 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Oct 31, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 25, 2018 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Oct 31, 2023 Accepting new patients

Locations

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

L2540
Columbus, OH 43260

1335 S Oneida St
Appleton, WI 54915
Phone (920) 731-6646

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

2727 Plaza Dr
Wausau, WI 54401
Phone (715) 847-3000

10200 W Innovation Dr
Ste 400
Wauwatosa, WI 53226
Phone (414) 944-2000

Interoperability endpoints

  • Direct secure messaging: lynn.vonruden.p1@direct.ppwi.nextgenshare.com

Organizations & group practices 8

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": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1740596238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 8TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 8TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945265",
            "telephone_number": "844-493-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON RUDEN",
        "first_name": "LYNN",
        "middle_name": "M.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "1265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "MOYER",
            "middle_name": "M.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wisconsin Rapids, WI

Sources for this page

Verify at the official NPI Registry.