HEATHER E RUTHSTROM NP
NPI 1033692405
Nurse Practitioner - Family in Urbana, IL

Q: What is Heather Ruthstrom's NPI number?

The NPI number for Heather Ruthstrom is 1033692405. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Q: What is Heather Ruthstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Heather Ruthstrom was last updated on March 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 12, 2018PECOS Enrolled

611 W PARK ST, URBANA, IL 61801(217) 383-3610(217) 326-2704 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 26, 2025, Sep 12, 2018 (2 updates tracked since 2018).

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About Heather E Ruthstrom Np NPPES

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

HEATHER E RUTHSTROM NP (NPI 1033692405) is an individual family provider in Urbana, Illinois, licensed in Illinois (209017905) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Danville.

NPPES Registry Identity

NPI1033692405

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHEATHER E RUTHSTROMCredential: NP

Location Address611 W PARK STUrbana, IL 61801-2529

Mailing Address611 W Park StUrbana, IL 61801-2529

Phone(217) 383-3610

Fax(217) 326-2704

Sole ProprietorNo

Enumeration DateSeptember 12, 2018

Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration

NPPES CertifiedMarch 26, 2025

✔ NPI 1033692405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209017905

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209017905 (IL)

611 W PARK ST, Urbana, IL 61801

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Secondary Practice Location 1

Location 1516 W Madison StDanville, IL 61832-5657 · Phone (217) 431-7600

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather E Ruthstrom Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

DR. UDAY BHASKAR KANAKADANDI MD

Internal Medicine (Interventional Cardiology)

611 W PARK ST, HVI
URBANA, IL 61801

Champaign County (217) 383-3110

DR. VIKAS DESAI MD

Urology