NINA RUSIANA (APN) – Family Nurse Practitioner, NPI 1376828194

NINA RUSIANA (APN) is a healthcare provider. based in Conshohocken, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209009024 (IL). The NPI Number for NINA RUSIANA (APN) is 1376828194

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
NINA RUSIANA (APN)
NPI
1376828194
Phone
Not provided
Address
161 WASHINGTON ST
Enumeration Date
12 October 2011
Last Update Date
12 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6304998999
Graduation Year
2010 (16 years ago)
PAC ID
0941475602
Group Practice PAC ID
4789906322
Professional Enrollment ID
I20111207000455
Address ID
IL605047914AU3973XSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

11,637 NURSE PRACTITIONER in IL

Provider Addresses for NINA RUSIANA (APN)

  • 161 WASHINGTON ST

    EIGHT TOWER SUITE 1400

    CONSHOHOCKEN, PA 194282083

    Phone:

    Type: Mailing

  • 200 E ROOSEVELT RD

    VILLA PARK, IL 601813500

    Phone: (866) 825-3227

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 266 Open Payments records for all available years, with a total value of $7,477.

Total Amount is formed as General ($7,477) + Research ($0) + Ownership ($0) = $7,477.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,702).

Total Amount

$7,477

General + Research + Ownership

Payments

266

Total payment records

General Amount

$7,477

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2011-12-07

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
I20111207000455INurse PractitionerILTBD

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 19428)

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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: 4789906322View full group profile
NameSpecialtyState
-IL
D E R M A T O L O G YIL
D E R M A T O L O G YWI
P A T H O L O G YIL
Preventive Medicine, Family PracticeIL
D E R M A T O L O G YIL
Dermatology, Micrographic Dermatologic Surgery (Mds)IL
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

What identifier follows NINA RUSIANA (APN) across health systems?
The NPI 1376828194 uniquely identifies NINA RUSIANA (APN) in U.S. healthcare data.
Is NINA RUSIANA (APN) currently accepting referrals based on NPI status?
Registry metadata lists NINA RUSIANA (APN) as active.
What type of care does NINA RUSIANA (APN) provide?
NINA RUSIANA (APN)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is NINA RUSIANA (APN) tied to Conshohocken, Pennsylvania?
If you are local to Conshohocken, Pennsylvania, NINA RUSIANA (APN) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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