Individual provider Active NPI

Charlee Rene Rusk, NP-C

  • Family Nurse Practitioner
  • Scottsboro, AL
National Provider Identifier
1750968707
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-166802 Issued in AL
Practice address
1302 S Broad St
Scottsboro, AL 35768-2605
Phone
(256) 218-4080
Fax
(256) 218-4080
NPI assigned
Mar 25, 2021
Last updated
Apr 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-166802 AL Primary
Emergency Registered Nurse 163WE0003X 1-166802 AL

Addresses

Primary practice location

1302 S Broad St
Scottsboro, AL 35768-2605

Mailing address

1754 County Road 380
Boaz, AL 35957-8243
Phone (256) 200-6223

Other practice location 1

8000 Al Highway 69
Guntersville, AL 35976-7140
Phone (256) 571-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20210908002418 AL Practitioner - Nurse Practitioner 8820494388 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshall Medical Center NorthGroup PAC ID 3577619873, 18 clinicians

Practice addresses (Care Compare)

301 E 18TH St
Anniston, AL 36207-3952
Phone (256) 235-8900

8000 Al Hwy 69
Guntersville, AL 35976-7140
Phone (256) 571-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-166802ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Emergency Physician Partners, LLC CurrentSince Aug 1, 2025 Accepting new patients
Alabama Emergency Physician Partners, LLC CurrentSince Aug 1, 2025 Accepting new patients
Alteon Health Alabama, LLC CurrentSince May 1, 2025 Accepting new patients
Marshall Medical Center North CurrentSince Jul 15, 2021 Accepting new patients
Scottsboro Family Physicians PC CurrentSince May 8, 2023 Accepting new patients
Scottsboro Family Physicians PC CurrentSince May 8, 2023 Accepting new patients
Alabama Emergency Physician Partners, LLC Current Accepting new patients
Marshall Medical Center North Past Accepting new patients

Locations

301 E 18th St
Anniston, AL 36207
Phone (256) 235-8900

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

8000 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8000

1302 S Broad St
Scottsboro, AL 35768
Phone (256) 218-4080

42950 US Highway 72
Ste 301
Stevenson, AL 35772
Phone (256) 437-1020

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7879/brand/1/csg/1/fhir/r4

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1750968707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 COUNTY ROAD 380",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359578243",
            "telephone_number": "256-200-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 S BROAD ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682605",
            "telephone_number": "256-218-4080",
            "fax_number": "256-218-4080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8000 Al Highway 69",
            "address_purpose": "LOCATION",
            "city": "Guntersville",
            "state": "AL",
            "postal_code": "359767140",
            "country_code": "US",
            "telephone_number": "256-571-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSK",
        "first_name": "CHARLEE",
        "middle_name": "RENE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-166802",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AL",
            "license": "1-166802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.