KARISSA RUTTEN (MS CCC-SLP) – Speech-Language Pathologist, NPI 1144638636

Speech-Language Pathologist

KARISSA RUTTEN (MS CCC-SLP) is a healthcare provider. based in Mountain home, Idaho. specializing in Speech-Language Pathologist. They hold the professional credentials MS CCC-SLP. They hold a License No. TSLP-2595 (ID). The NPI Number for KARISSA RUTTEN (MS CCC-SLP) is 1144638636

Main info

Female

12 Years Of Experience

Accepts Medicare Assignment

Name

KARISSA RUTTEN (MS CCC-SLP)

NPI

1144638636

Phone

(208) 587-8255

Address

245 N 3RD E

Enumeration Date

28 July 2014

Last Update Date

10 October 2018

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2088980988

Graduation Year

2014 (12 years ago)

PAC ID

1456672062

Group Practice PAC ID

6406049469

Professional Enrollment ID

I20150608003063

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience36

Completeness75

Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for KARISSA RUTTEN (MS CCC-SLP)

245 N 3RD E
MOUNTAIN HOME, ID 836472734
Phone: (208) 587-8255
Fax: (208) 587-4475
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-06-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20150608003063	I	Qualified Speech Language Pathologist	ID	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83647)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6406049469View full group profile

Name	Specialty	State
TERESA MICHELLE JOHNSON (MS CF-SLP)	-	ID
ANNIE ABINANTI	-	AK
RACHELLE RUFFING (MSCCC SLP)	-	ID
MS. ANNA GALE ESTES-WADDELL (M.A., CCC-SLP)	-	ID
HEATHER YBARLUCEA (CCC-SLP)	-	HI
MRS. WENDY L MEGUESS (OTR)	-	ID

Reviews

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Frequently asked questions

What is the standard ID for KARISSA RUTTEN (MS CCC-SLP) in the U.S.?

In the U.S., KARISSA RUTTEN (MS CCC-SLP) is identified by NPI 1144638636.

Should I treat KARISSA RUTTEN (MS CCC-SLP) as an active provider?

Patients and plans typically see KARISSA RUTTEN (MS CCC-SLP) as active in the national extract.

Which specialty label fits KARISSA RUTTEN (MS CCC-SLP)?

NPPES ties KARISSA RUTTEN (MS CCC-SLP) to Speech-Language Pathologist in the taxonomy section. Clinical services aligned with this taxonomy classification.

What geographic area is tied to KARISSA RUTTEN (MS CCC-SLP)?

KARISSA RUTTEN (MS CCC-SLP) is associated with Mountain Home, Idaho in the same public data insurers reference.

Can I export KARISSA RUTTEN (MS CCC-SLP)'s record?

You can download the official NPPES record; we summarize key fields for readability.