Active NPI
Kenneth Warren Rueden, PA-C
- Surgical Physician Assistant
- Neenah, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 3359-23
- Practice address
- 1265 W American Dr # 100
Neenah, WI 54956-1405 - Phone
- (920) 886-8979
- NPI assigned
- Jul 24, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 3359-23 | WI | Primary |
Addresses
Primary practice location
1265 W American Dr # 100
Neenah, WI 54956-1405
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 886-8979
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Wisconsin School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1095 Midway Rd
Menasha, WI 54952-1115
Phone (920) 720-2300
1265 W American Dr
Suite 100
Neenah, WI 54956-1405
Phone (920) 886-8979
130 2ND St
Neenah, WI 54956-2883
Phone (920) 725-0077
1405 Mill St
New London, WI 54961-2155
Phone (920) 531-2000
1405 S Mill St
New London, WI 54961-2155
Phone (920) 831-5050
1818 N Meade St
Appleton, WI 54911-3454
1818 N Meade St Room
N255
Appleton, WI 54911-3454
Phone (920) 730-3383
3 Neenah Ctr
Neenah, WI 54956-3070
333 N Green Bay Rd
Neenah, WI 54956-1954
Phone (920) 720-2300
600 N Westhaven Dr
Oshkosh, WI 54904-6926
Phone (920) 725-0077
900 E Grant St
Thedacare Orthopedic Care
Appleton, WI 54911-3454
Phone (920) 831-5050
W5282 Amy Ave
Appleton, WI 54915-7233
Phone (920) 358-1900
Hospital & facility affiliations
- Thedacare Regional Med Ctr - Neenah
- Thedacare Regional Medical Center - Appleton Inc
- Thedacare Medical Center - Shawano
- Thedacare Medical Center - Berlin Inc
- Aurora Medical Ctr Oshkosh
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3359 | WI | MD | Optometrist |
| 3359-23 | WI | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Ascension NE Wisconsin, Inc | Current | Accepting new patients | |
| Thedacare, Incorporated | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Thedacare Medical Center - Berlin, Inc. | Past | Accepting new patients |
Locations
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1095 Midway Rd
Menasha, WI 54952
Phone (920) 720-3700
1265 West American Dr
#100
Neenah, WI 54956
Phone (920) 722-7747
3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229
1370 N Shawano St
Ste A
New London, WI 54961
Phone (920) 531-1100
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161
800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000
Interoperability endpoints
- kenneth.rueden@marshfieldclinichealthsystem.cernerdirect.com
- him@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 12
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.
-
- Family Medicine Physician
- New London, WI
- NPI 1376656959
-
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
-
- Urology Physician
- Neenah, WI
- NPI 1578872628
-
- Cardiovascular Disease Physician
- Appleton, WI
- NPI 1831890177
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1912527193
-
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1558230847
-
- Clinic/Center
- Wisconsin Rapids, WI
- NPI 1568188589
-
- Critical Access Hospital
- Berlin, WI
- NPI 1760413777
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1275578064
-
- Critical Access Hospital
- Ripon, WI
- NPI 1326493602
-
- Critical Access Hospital
- Berlin, WI
- NPI 1760413777
-
- Critical Access Hospital
- Wautoma, WI
- NPI 1992159289
-
- Critical Access Hospital
- Shawano, WI
- NPI 1548260839
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1740920909
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1497119218
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1689038408
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1831773589
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1902832306
-
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1912721002
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1912880329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1972911766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 NEENAH CTR",
"city": "NEENAH",
"state": "WI",
"postal_code": "549563070",
"telephone_number": "920-886-8979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 W AMERICAN DR # 100",
"city": "NEENAH",
"state": "WI",
"postal_code": "549561405",
"telephone_number": "920-886-8979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUEDEN",
"first_name": "KENNETH",
"middle_name": "WARREN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-24",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WI",
"license": "3359-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1000 N Oak Ave",
"city": "Marshfield",
"state": "WI",
"country_code": "US",
"postal_code": "544495703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.