MIRANDA SUE RUHLEN (NP) – Nurse Practitioner, NPI 1881362168

MIRANDA SUE RUHLEN (NP) is a healthcare provider. based in Fenton, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704290743 (MI). The NPI Number for MIRANDA SUE RUHLEN (NP) is 1881362168

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MIRANDA SUE RUHLEN (NP)
NPI
1881362168
Phone
(810) 938-8899
Address
1240 LORI LN
Enumeration Date
1 September 2021
Last Update Date
24 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
7214335249
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20211006000469
Address ID
MI481095000AN1500XDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MIRANDA SUE RUHLEN (NP)

  • 1240 LORI LN

    FENTON, MI 484303402

    Phone: (810) 938-8899

    Type: Mailing

  • 1215 E MICHIGAN AVE

    LANSING, MI 489121896

    Phone: (517) 364-1000

    Type: Location

  • 3621 S STATE ST

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • 1215 E Michigan Ave

    Lansing, MI 489121896

    Phone: (517) 364-1000

    Type: Location

  • 1500 E MEDICAL CENTER DR

    ANN ARBOR, MI 481095000

    Phone: (734) 936-4000

    Type: Location

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: 2021-10-06

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
I20211006000469INurse 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.

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

Insurance plans in this area (ZIP 48430)

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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: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MIRANDA SUE RUHLEN (NP)?
MIRANDA SUE RUHLEN (NP) — NPI 1881362168 — is the standard way to identify this listing.
Does CMS list MIRANDA SUE RUHLEN (NP) as active?
Yes — MIRANDA SUE RUHLEN (NP) is active in the NPI listing used on this page.
What is MIRANDA SUE RUHLEN (NP) best known for clinically?
Directory data describes MIRANDA SUE RUHLEN (NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MIRANDA SUE RUHLEN (NP)?
MIRANDA SUE RUHLEN (NP)'s geographic hint is Fenton, Michigan in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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