LISA RUDD (NP) – Women's Health Nurse Practitioner, NPI 1407273071

LISA RUDD (NP) is a healthcare provider. based in Jackson, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704215073 (MI). The NPI Number for LISA RUDD (NP) is 1407273071

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
LISA RUDD (NP)
NPI
1407273071
Phone
(517) 768-4377
Address
3305 SPRING ARBOR RD
Enumeration Date
21 March 2014
Last Update Date
21 March 2014

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5172053187
Graduation Year
2013 (13 years ago)
PAC ID
0840422812
Group Practice PAC ID
0244136067
Professional Enrollment ID
I20140407001774
Address ID
MI492033795JA3305XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for LISA RUDD (NP)

  • 3305 SPRING ARBOR RD

    JACKSON, MI 492033794

    Phone: (517) 768-4377

    Fax: (517) 780-3932

    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: 2014-04-07

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

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140407001774INurse PractitionerMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2929$0
View full utilization report →

Insurance plans in this area (ZIP 49203)

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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: 0244136067View full group profile

Reviews

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Frequently asked questions

How is LISA RUDD (NP) identified in CMS data?
CMS-hosted NPPES data lists LISA RUDD (NP) with NPI 1407273071.
Does CMS list LISA RUDD (NP) as active?
Yes — LISA RUDD (NP) is active in the NPI listing used on this page.
What taxonomy line describes LISA RUDD (NP)?
For research purposes, treat LISA RUDD (NP) as Women's Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for LISA RUDD (NP)?
LISA RUDD (NP)'s geographic hint is Jackson, Michigan in our summary view.
Is the information about LISA RUDD (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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