Individual provider Active NPI

Rachel Ann Rudd, FNP-BC

  • Family Nurse Practitioner
  • Jackson, MI
National Provider Identifier
1932048832
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704363757 Issued in MI
Practice address
729 E Michigan Ave
Jackson, MI 49201-1625
Phone
(517) 539-3018
NPI assigned
Mar 26, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704363757 MI Primary

Addresses

Primary practice location

729 E Michigan Ave
Jackson, MI 49201-1625

Mailing address

9875 Case Rd
Brooklyn, MI 49230-8827
Phone (517) 240-0233

Other names 1

  • Rachel Ann Rudd Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260427002992 MI Practitioner - Emergency Medicine 8729555784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Michigan Medical School, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iep Urgent Care - Jackson PLLCGroup PAC ID 0042619132, 20 clinicians

Practice addresses (Care Compare)

729 E Michigan Ave
Jackson, MI 49201-1625
Phone (517) 539-3018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704363757MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iep Urgent Care - Jackson PLLC CurrentSince May 1, 2026 Accepting new patients

Locations

729 E Michigan Ave
Jackson, MI 49201
Phone (517) 539-3018

1602 W Michigan Ave
Jackson, MI 49202
Phone (517) 879-1166

Organizations & group practices 1

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": "1774483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1932048832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9875 CASE RD",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492308827",
            "telephone_number": "517-240-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 E MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011625",
            "telephone_number": "517-539-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDD",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704363757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "RUDD",
            "middle_name": "ANN",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.