GAIL L. RUTAN NP
NPI 1063467371
Nurse Practitioner - Family in Lafayette, IN

Q: What is Gail Rutan's NPI number?

The NPI number for Gail Rutan is 1063467371. It was assigned to this individual provider in the NPPES registry on May 24, 2006. The provider is also known as Gail L. Clark.

Q: What is Gail Rutan'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 Gail Rutan was last updated on March 26, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 24, 2006PECOS Enrolled

2600 GREENBUSH ST, LAFAYETTE, IN 47904(765) 448-8000 Get Directions Write a Review

NPPES record last updated: March 26, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Gail L. Rutan Np NPPES

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

GAIL L. RUTAN NP (NPI 1063467371) is an individual family provider in Lafayette, Indiana, licensed in Indiana (71001551A) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063467371

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameGAIL L. RUTANCredential: NP

Location Address2600 GREENBUSH STLafayette, IN 47904-2477

Mailing AddressPo Box 5545Lafayette, IN 47903-5545 · (765) 448-8000

Phone(765) 448-8000

Sole ProprietorNo

Enumeration DateMay 24, 2006

Last NPPES UpdateMarch 26, 2009

✔ NPI 1063467371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71001551A

2600 GREENBUSH ST, Lafayette, IN 47904

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Other Names 1

Former Name (1)Gail L. Clark

Other Identifiers 4

Medicare PIN815500S5IN

OtherPENDINGIN · Anthem Provider Number

Medicare UPINP89578IN

Medicaid200534870IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gail L. Rutan 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 47904 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

MICHELLE B HERBERTS MD

Internal Medicine (Critical Care Medicine)