Active NPI
Jessica Ann Rusch, R.N.
- Registered Nurse
- Stoughton, WI
National Provider Identifier
1821155961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 149302-30
- Practice address
- 519 Hannerville Rd
Stoughton, WI 53589-4318 - Phone
- (608) 873-2821
- NPI assigned
- Jan 1, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 149302-30 | WI | Primary |
Addresses
Primary practice location
519 Hannerville Rd
Stoughton, WI 53589-4318
Mailing address
1311 Endl Blvd
Fort Atkinson, WI 53538-2713
Phone (920) 568-9304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149302-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821155961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 ENDL BLVD",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535382713",
"telephone_number": "920-568-9304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 HANNERVILLE RD",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "535894318",
"telephone_number": "608-873-2821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSCH",
"first_name": "JESSICA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "149302-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stoughton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.