MINDY JO RUTAN (FNP) – Family Nurse Practitioner, NPI 1275969701
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MINDY JO RUTAN (FNP)
8075 N SHADELAND AVE STE 350
INDIANAPOLIS, IN 462502693
Phone: (317) 621-8668
Type: Location
3280 E State Road 32
Westfield, IN 460748731
Phone: (866) 389-2727
Type: Location
11262 HEARTHSTONE DR
FISHERS, IN 460374277
Phone: (765) 618-9660
Type: Mailing
3280 E STATE ROAD 32
WESTFIELD, IN 460748731
Phone: (866) 389-2727
Type: Location
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 462502890
Phone: (317) 621-7547
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $1,086.
Total Amount is formed as General ($1,086) + Research ($0) + Ownership ($0) = $1,086.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Abbott Laboratories ($458).
Total Amount
$1,086
General + Research + Ownership
Payments
25
Total payment records
General Amount
$1,086
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-01-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140130000364 | I | Nurse Practitioner | IN | 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 46250)
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