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DR. KEVIN PATRICK RUDDELL DC
NPI 1013072669
Chiropractor in Lewiston, ID

Active since December 26, 2006
1117 16TH AVENUE, LEWISTON, ID 83501(208) 743-8401(208) 743-8722 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kevin Patrick Ruddell Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN PATRICK RUDDELL DC (NPI 1013072669) is an individual chiropractor in Lewiston, Idaho, licensed in Idaho (CHIR 725) and active in the NPI registry since December 2006. He is a graduate of Palmer College Chiropractic - Davenport (1992).

NPPES Registry Identity

NPI1013072669
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KEVIN PATRICK RUDDELLCredential: DC
Location Address1117 16TH AVENUELewiston, ID 83501
Mailing Address1117 16th AvenueLewiston, ID 83501 · (208) 743-8401 · Fax (208) 743-8722
Phone(208) 743-8401
Fax(208) 743-8722
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1992
Enumeration DateDecember 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013072669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIR 725
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1117 16TH AVENUE, Lewiston, ID 83501
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Other Identifiers 4

OtherC7259ID · Blue Cross
Other000010024191ID · Regence
Other0190459Dept Labor & Industries
Medicare ID-Type Unspecified1673655

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Patrick Ruddell Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597928424
PECOS Enrollment IDI20120512000000

Medicare Billing Reassignment

Medicare enrollment records show Kevin Ruddell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ruddell Chiropractic Clinic
Same address
Chiropractor
1117 16TH AVE
Lewiston, ID 83501
  • Reassigned Medicare billing, Idaho enrollment
  • 2 clinicians in this Medicare group
NPI 1225235906 (208) 743-8401

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
835 services92 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN T RUDDELL DC
Chiropractor
1117 16TH AVENUE
LEWISTON, ID 83501
Nez Perce County (208) 743-8401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Ruddell's NPI number?

The NPI number for Kevin Ruddell is 1013072669. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Kevin Ruddell located?

Kevin Ruddell practices at 1117 16th Avenue, Lewiston, ID 83501. The listed phone number is (208) 743-8401.

What is Kevin Ruddell's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kevin Ruddell enrolled in Medicare?

Yes. Kevin Ruddell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Ruddell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Ruddell reassigns Medicare benefits to Ruddell Chiropractic Clinic (Lewiston, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Ruddell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Ruddell accept?

Health plans from Molina Healthcare and Providence Health Plan list Kevin Ruddell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Ruddell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.