MARK ALLEN RUTLEDGE (APN) – Acute Care Nurse Practitioner, NPI 1578796348

MARK ALLEN RUTLEDGE (APN) is a healthcare provider. based in Waco, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. AP117948 (TX). The NPI Number for MARK ALLEN RUTLEDGE (APN) is 1578796348

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MARK ALLEN RUTLEDGE (APN)
NPI
1578796348
Phone
(254) 202-5300
Address
100 Hillcrest Medical Blvd Ste 120
Enumeration Date
27 August 2009
Last Update Date
15 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2109216600
Graduation Year
2009 (17 years ago)
PAC ID
4981750346
Group Practice PAC ID
8123932647
Professional Enrollment ID
I20161011001921
Address ID
TX782141305SA711XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MARK ALLEN RUTLEDGE (APN)

  • 100 Hillcrest Medical Blvd Ste 120

    Waco, TX 76712

    Phone: (254) 202-5300

    Fax: (254) 215-9699

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752844471

    Phone: (800) 994-0371

    Type: Mailing

  • Baylor Scott & White Hillcrest Medical Center, 100, Hillcrest Medical Boulevard, Waco, McLennan County, Texas, 76712, United States

    WACO, TX 76712

    Phone: (254) 202-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $247.

Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Lilly USA, LLC ($125).

Total Amount

$247

General + Research + Ownership

Payments

2

Total payment records

General Amount

$247

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

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: 2016-10-11

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
I20161011001921INurse PractitionerTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13484$0
99239Hospital discharge day management, more than 30 minutes4342$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 76712)

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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: 8123932647View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyTX
Family Practice, DermatologyTX
Physician AssistantTX
Internal MedicineVA
Internal MedicineTX
Internal MedicineTX
Physical Therapist In Private PracticeTX
-TX
Internal Medicine, EndocrinologyTX
Family PracticePA

Reviews

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Frequently asked questions

What federal number belongs to MARK ALLEN RUTLEDGE (APN)?
The federal identifier for MARK ALLEN RUTLEDGE (APN) is NPI 1578796348.
Does this profile mean MARK ALLEN RUTLEDGE (APN) is currently active?
Yes — MARK ALLEN RUTLEDGE (APN) appears active in the national provider directory.
Can you summarize MARK ALLEN RUTLEDGE (APN)'s specialty in plain language?
Clinically, the directory lists MARK ALLEN RUTLEDGE (APN) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MARK ALLEN RUTLEDGE (APN)'s primary listing?
We display Waco, Texas because that is what the record indicates for MARK ALLEN RUTLEDGE (APN).
What if Waco, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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