SARAH MICHELLE RUDDER (PA-C) – Physician Assistant, NPI 1669042230

SARAH MICHELLE RUDDER (PA-C) is a healthcare provider. based in Lebanon, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA0000005219 (TN). The NPI Number for SARAH MICHELLE RUDDER (PA-C) is 1669042230

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SARAH MICHELLE RUDDER (PA-C)
NPI
1669042230
Phone
(615) 444-4126
Address
1420 W BADDOUR PKWY STE 200
Enumeration Date
28 June 2021
Last Update Date
18 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6154444126
Graduation Year
2022 (4 years ago)
PAC ID
5395185110
Group Practice PAC ID
5496094062
Professional Enrollment ID
I20240426002257
Address ID
TN370871510LE1420XPKWY405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for SARAH MICHELLE RUDDER (PA-C)

  • 1420 W BADDOUR PKWY STE 200

    LEBANON, TN 370871510

    Phone: (615) 444-4126

    Fax: (855) 785-2890

    Type: Mailing

  • 333 MURFREESBORO PIKE

    NASHVILLE, TN 372102877

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $1,139.

Total Amount is formed as General ($1,139) + Research ($0) + Ownership ($0) = $1,139.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Corcept Therapeutics ($217).

Total Amount

$1,139

General + Research + Ownership

Payments

56

Total payment records

General Amount

$1,139

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2024-04-26

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
I20240426002257IPhysician AssistantTNTBD

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 37087)

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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: 5496094062View full group profile
NameSpecialtyState
Nurse PractitionerTN
Endocrinology, Internal MedicineTN

Reviews

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Frequently asked questions

What is the registry number for SARAH MICHELLE RUDDER (PA-C)?
The registry entry for SARAH MICHELLE RUDDER (PA-C) shows NPI 1669042230.
Does the public listing show SARAH MICHELLE RUDDER (PA-C) as active?
SARAH MICHELLE RUDDER (PA-C)'s NPI record reflects an active status in NPPES.
How should patients interpret SARAH MICHELLE RUDDER (PA-C)'s specialty?
The extract shows Physician Assistant for SARAH MICHELLE RUDDER (PA-C). Clinical services aligned with this taxonomy classification.
Can patients visit SARAH MICHELLE RUDDER (PA-C) in Lebanon, Tennessee?
For routing, start with Lebanon, Tennessee for SARAH MICHELLE RUDDER (PA-C), then verify phone and hours locally.
Why is information missing for SARAH MICHELLE RUDDER (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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