JESSICA LYNN RUSCIANO – Women's Health Nurse Practitioner, NPI 1235020355

JESSICA LYNN RUSCIANO is a healthcare provider. based in Crystal, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 13084 (MN). The NPI Number for JESSICA LYNN RUSCIANO is 1235020355

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
JESSICA LYNN RUSCIANO
NPI
1235020355
Phone
(763) 587-7999
Address
5109 36TH AVE N
Enumeration Date
15 July 2025
Last Update Date
26 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7635877900
Graduation Year
2025 (1 year ago)
PAC ID
2961903075
Group Practice PAC ID
2769384205
Professional Enrollment ID
I20250829002939
Address ID
MN554222007CR5109XNXXX400

Contacts

Secure Messaging
jessica.rusciano@nor.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness95
Years active:0State licenses:2Other names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for JESSICA LYNN RUSCIANO

  • 5109 36TH AVE N

    CRYSTAL, MN 554222007

    Phone: (763) 587-7999

    Type: Location

  • 2713 COLORADO AVE S

    MINNEAPOLIS, MN 554161824

    Phone: (952) 451-1815

    Type: Mailing

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: 2025-08-29

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
I20250829002939INurse PractitionerMNTBD

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 55422)

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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: 2769384205View full group profile
NameSpecialtyState
-MN
Colorectal Surgery (Proctology)MN
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
Internal Medicine, RheumatologyMN
Nurse PractitionerMN
Family PracticeMN
O B S T E T R I C S/ G Y N E C O L O G YMN
Colorectal Surgery (Proctology)MN
Internal Medicine, GastroenterologyMN

Reviews

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Frequently asked questions

What is the standard ID for JESSICA LYNN RUSCIANO in the U.S.?
In the U.S., JESSICA LYNN RUSCIANO is identified by NPI 1235020355.
Is JESSICA LYNN RUSCIANO currently accepting referrals based on NPI status?
Registry metadata lists JESSICA LYNN RUSCIANO as active.
How should patients interpret JESSICA LYNN RUSCIANO's specialty?
The extract shows Women's Health Nurse Practitioner for JESSICA LYNN RUSCIANO. Clinical services aligned with this taxonomy classification.
What city is tied to JESSICA LYNN RUSCIANO?
The directory associates JESSICA LYNN RUSCIANO with Crystal, Minnesota. Check all listed addresses for suites or satellite offices.
Can I export JESSICA LYNN RUSCIANO's record?
You can download the official NPPES record; we summarize key fields for readability.

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