MS. HOLLY JEAN RUTTAN (NP-C) – Family Nurse Practitioner, NPI 1194278705

MS. HOLLY JEAN RUTTAN (NP-C) is a healthcare provider. based in Toledo, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. APRN.CNP.019430 (OH). The NPI Number for MS. HOLLY JEAN RUTTAN (NP-C) is 1194278705

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MS. HOLLY JEAN RUTTAN (NP-C)
NPI
1194278705
Phone
(419) 367-1500
Address
4204 NANTUCKETT DR
Enumeration Date
31 July 2016
Last Update Date
9 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4194795795
Graduation Year
2016 (10 years ago)
PAC ID
8729375803
Group Practice PAC ID
8426585142
Professional Enrollment ID
I20220420001429
Address ID
MI481449737LA7301XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for MS. HOLLY JEAN RUTTAN (NP-C)

  • Nantuckett Drive, Franklin Park, Toledo, Lucas County, Ohio, 43623, United States

    TOLEDO, OH 436233225

    Phone: (419) 367-1500

    Type: Mailing

  • 4235, Secor Road, Deaveaux, Toledo, Lucas County, Ohio, 43623, United States

    TOLEDO, OH 436234231

    Phone: (419) 479-5795

    Type: Location

  • 1070 N Shoop Ave

    Wauseon, OH 435671821

    Phone: (419) 330-5200

    Type: Location

  • 341 Trenton Ave

    Findlay, OH 458403745

    Phone: (567) 250-8212

    Type: Location

  • 106 S Lafayette St

    South Lyon, MI 481781404

    Phone: (947) 348-1176

    Type: Location

  • 1090 N Shoop Ave

    Wauseon, OH 435671821

    Phone: (419) 330-5200

    Type: Location

  • 417 4th St

    Defiance, OH 435122605

    Phone: (419) 785-4660

    Type: Location

  • 1100 W Main St

    Woodville, OH 434699723

    Phone: (419) 724-5820

    Type: Location

  • 1136 Country Club Rd Unit C

    Adrian, MI 492218209

    Phone: (517) 366-5110

    Type: Location

  • 4235 SECOR RD

    TOLEDO, OH 436234299

    Phone:

    Type: Mailing

  • 7301 SECOR RD

    LAMBERTVILLE, MI 481449737

    Phone: (419) 479-5795

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 222 Open Payments records for all available years, with a total value of $4,210.

Total Amount is formed as General ($4,210) + Research ($0) + Ownership ($0) = $4,210.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($732).

Total Amount

$4,210

General + Research + Ownership

Payments

222

Total payment records

General Amount

$4,210

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2022-04-20

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160919001184INurse PractitionerOHTBD
I20220420001429INurse 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
17003Destruction of precancer skin growth, 2-14 growths2,287336$0
99214Established patient office or other outpatient visit, 30-39 minutes827508$0
17000Destruction of precancer skin growth, 1 growth571401$0
11102Biopsy of related skin growth, first growth477370$0
11103Biopsy of related skin growth, each additional growth423199$0
View full utilization report →

Insurance plans in this area (ZIP 43623)

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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: 8426585142View full group profile
NameSpecialtyState
D E R M A T O L O G YMI
Nurse PractitionerMI
Physician AssistantOH
Nurse PractitionerOH
Physician AssistantOH
Physician AssistantOH
D E R M A T O L O G YGA
Nurse PractitionerMI
Dermatology, Micrographic Dermatologic Surgery (Mds)OH

Reviews

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Frequently asked questions

How do I look up MS. HOLLY JEAN RUTTAN (NP-C) by NPI?
Use NPI 1194278705 when you need to reference MS. HOLLY JEAN RUTTAN (NP-C) in forms, claims, or directories.
Does this profile mean MS. HOLLY JEAN RUTTAN (NP-C) is currently active?
Yes — MS. HOLLY JEAN RUTTAN (NP-C) appears active in the national provider directory.
What field does MS. HOLLY JEAN RUTTAN (NP-C) work in?
You can think of MS. HOLLY JEAN RUTTAN (NP-C) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MS. HOLLY JEAN RUTTAN (NP-C)?
The snapshot lists Toledo, Ohio for MS. HOLLY JEAN RUTTAN (NP-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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