KELLY RUSE (CNM) – Advanced Practice Midwife, NPI 1497256705
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
23 CERTIFIED NURSE MIDWIFE (CNM) in NE
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Provider Addresses for KELLY RUSE (CNM)
4930, South 30th Street, South Omaha, Omaha, Douglas County, Nebraska, 68107, United States
OMAHA, NE 681071521
Phone: (402) 734-4110
Fax: (402) 734-3990
Type: Location
7974 UW HEALTH CT
MIDDLETON, WI 535625531
Phone:
Type: Mailing
2202 S PARK ST
MADISON, WI 537131916
Phone: (608) 443-5480
Type: Location
103, South 30th Street, Omaha, Douglas County, Nebraska, 68131, United States
OMAHA, NE 681071656
Phone: (402) 734-4110
Fax: (402) 734-3990
Type: Mailing
385 CALLE DE ALEGRA STE A
LAS CRUCES, NM 880053423
Phone: (575) 526-1105
Fax: (575) 524-4266
Type: Mailing
385 CALLE DE ALEGRA BLDG C
LAS CRUCES, NM 880053423
Phone: (575) 556-8200
Fax: (575) 556-8180
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: 2024-04-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20220907000186 | I | Certified Nurse Midwife (Cnm) | NM | TBD |
| I20240401002090 | I | Certified Nurse Midwife (Cnm) | WI | 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.
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 68107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Endocrinology, Internal Medicine | WI | |
| Medical Oncology, Hematology/Oncology | CA |
Reviews
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