Active NPI
Lauren Alexis Rutten
- Physician Assistant
- Sartell, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1901 Connecticut Ave S
Sartell, MN 56377-2554 - Phone
- (320) 259-4100
- Fax
- (320) 257-5523
- NPI assigned
- Dec 14, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1901 Connecticut Ave S
Sartell, MN 56377-2554
Mailing address
41052 57TH Ave
Rice, MN 56367-9543
Phone (320) 266-4446
Other practice location 1
41052 57th Ave
Rice, MN 56367-9543
Phone (320) 266-4446
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250429003836 | MN | Practitioner - Physician Assistant | 2668998956 |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1346 W Arrowhead Rd
Suite 329
Duluth, MN 55811-2218
41052 57TH Ave
Rice, MN 56367-9543
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Astera Health | Current | Accepting new patients | |
| County of Meeker | Current | Accepting new patients | |
| County of Meeker | Current | Accepting new patients | |
| Astera Health | Current | Accepting new patients | |
| County of Meeker | Current | Accepting new patients |
Locations
612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242
3315 Roosevelt Rd
Ste 200B
Saint Cloud, MN 56301
Phone (320) 259-4100
1901 Connecticut Ave S
Sartell, MN 56377
Phone (320) 259-4100
415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510
Interoperability endpoints
- lrutten867158@direct.centracare.com
- lrutten@stcloudortho1831.srs-direct.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.
-
- Rural Health Clinic/Center
- Wadena, MN
- NPI 1134305162
-
- Critical Access Hospital
- Wadena, MN
- NPI 1477545333
-
- Rural Health Clinic/Center
- Litchfield, MN
- NPI 1083221816
-
- Medicare Defined Swing Bed Hospital Unit
- Litchfield, MN
- NPI 1578718482
-
- Critical Access Hospital
- Litchfield, MN
- NPI 1598860215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1740992304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41052 57TH AVE",
"city": "RICE",
"state": "MN",
"postal_code": "563679543",
"telephone_number": "320-266-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 CONNECTICUT AVE S",
"city": "SARTELL",
"state": "MN",
"postal_code": "563772554",
"telephone_number": "320-259-4100",
"fax_number": "320-257-5523"
}
],
"practiceLocations": [
{
"address_1": "41052 57th Ave",
"address_purpose": "LOCATION",
"city": "Rice",
"state": "MN",
"postal_code": "563679543",
"country_code": "US",
"telephone_number": "320-266-4446",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUTTEN",
"first_name": "LAUREN",
"middle_name": "ALEXIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-14",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 27, 2025; 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.