MR. GARY RUDASHEVSKY (CNP) – Adult Health Nurse Practitioner, NPI 1720298565

MR. GARY RUDASHEVSKY (CNP) is a healthcare provider. based in Edina, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. A0407181 (MN). The NPI Number for MR. GARY RUDASHEVSKY (CNP) is 1720298565

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
MR. GARY RUDASHEVSKY (CNP)
NPI
1720298565
Phone
(952) 225-5400
Address
6550 YORK AVE S STE 303
Enumeration Date
23 May 2007
Last Update Date
1 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9522255400
Graduation Year
2006 (20 years ago)
PAC ID
1759575152
Group Practice PAC ID
6800056391
Professional Enrollment ID
I20101029000782
Address ID
MN554352333ED6550XSXXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for MR. GARY RUDASHEVSKY (CNP)

  • 6550 YORK AVE S STE 303

    EDINA, MN 554352334

    Phone: (952) 225-5400

    Type: Mailing

  • 6550 YORK AVE S STE 211

    EDINA, MN 554352333

    Phone: (952) 225-5400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $94.

Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: Antares Pharma, Inc. ($34).

Total Amount

$94

General + Research + Ownership

Payments

6

Total payment records

General Amount

$94

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-10-29

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
I20101029000782INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample11265$0
84403Testosterone (hormone) level, total10463$0
84270Sex hormone binding globulin (protein) level9763$0
82670Measurement of total estradiol (hormone)9763$0
99214Established patient office or other outpatient visit, 30-39 minutes8657$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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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: 6800056391View full group profile
NameSpecialtyState
Nurse PractitionerMN
Nurse PractitionerFL
Family PracticeMN

Reviews

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Frequently asked questions

Is there an official ID for MR. GARY RUDASHEVSKY (CNP) in U.S. healthcare records?
The official identifier for MR. GARY RUDASHEVSKY (CNP) is NPI 1720298565.
Is MR. GARY RUDASHEVSKY (CNP) shown as active in public data?
Registry records indicate MR. GARY RUDASHEVSKY (CNP) maintains an active NPI.
How would a patient describe MR. GARY RUDASHEVSKY (CNP)'s focus?
For MR. GARY RUDASHEVSKY (CNP), the primary taxonomy reads as Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Minnesota is MR. GARY RUDASHEVSKY (CNP) registered?
Use Edina, Minnesota as the headline location for MR. GARY RUDASHEVSKY (CNP) here.
When was this NPI issued?
Enumeration for MR. GARY RUDASHEVSKY (CNP) is noted as May 23, 2007 where the registry provides it.

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