Allison Mary Rutten
Individual provider Active NPI Family Nurse Practitioner · Pound, WI
NPI 1891407540 · NPPES record last updated Nov 22, 2024
Key facts
- NPI
- 1891407540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 13623 (WI)
- Practice address
- N5404 43Rd Rd
Pound, WI 54161-9229 - Phone
- (920) 562-7929
- NPI assigned
- Dec 14, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sequoia Integrative Medical Services LLC
Practice addresses (Care Compare)
1351 Ontario Rd
Green Bay, WI 54311-8302
Phone (920) 328-1220
Hospital & facility affiliations
- Ascension at Home
- PRN Home Health and Therapy, LLC
- Bellin Home Health Agency
- Ascension at Home
- Unity Hospice
- Bristol Hospice Green Bay
- Thedacare at Home
- Holy Family Memorial
- St Vincent Hospital
- Thedacare Medical Center - Berlin Inc
- Thedacare Medical Center - Wild Rose
- St Marys Hospital Medical Ctr
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230703000885 | WI | Practitioner - Nurse Practitioner | 6608235080 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13623 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sequoia Integrative Medical Services LLC | Current |
Accepting new patients |
Locations
1351 Ontario Rd
Green Bay, WI 54311
Phone (920) 328-1220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13623 | WI | Yes |
Addresses
Primary practice location
N5404 43Rd Rd
Pound, WI 54161-9229
Mailing address
N5404 43Rd Rd
Pound, WI 54161-9229
Phone (920) 562-7929
Other providers in Pound, WI
- Osterberg Chiropractic Office LLC
- Brian R Osterberg
- Pound Community Medical Clinic S.C.
- Pound PT Clinic LLC
- Jessica Riedy
- Peter A Sytsma
- Town of Brazeau
All providers in Pound, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.