JACOB RUSCZEK PHD PLLC
NPI 1114796489
Clinic/Center - Adult Mental Health in Montpelier, VT
About Jacob Rusczek Phd Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB RUSCZEK PHD PLLC (NPI 1114796489) is a healthcare organization registered as an adult mental health in Montpelier, Vermont and active in the NPI registry since December 2023. The organization lists Jacob Robert Rusczek, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacob Rusczek Phd Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jacob Rusczek Phd PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jacob Rusczek Phd PLLC's NPI number?
The NPI number for Jacob Rusczek Phd PLLC is 1114796489. It was assigned to this organization in the NPPES registry on December 27, 2023.
Where is Jacob Rusczek Phd PLLC located?
Jacob Rusczek Phd PLLC is located at 301 River St Ste 204, Montpelier, VT 05602. The listed phone number is (802) 505-5026.
What is Jacob Rusczek Phd PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Jacob Rusczek Phd PLLC enrolled in Medicare?
Yes. Jacob Rusczek Phd PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jacob Rusczek Phd PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Jacob Rusczek Phd PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jacob Rusczek Phd PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Jacob Rusczek Phd PLLC 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 Jacob Rusczek Phd PLLC was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jacob Rusczek Phd Pllc · NPI 1114796489
Adult Mental Health organization in Montpelier, Vermont. Organization record, active in the CMS NPPES registry since December 27, 2023.
## Identity
- **NPI:** 1114796489 (Entity type: Organization)
- **Enumerated:** December 27, 2023
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Jacob Rusczek, OWNER
## Practice location
- **Address:** 301 RIVER ST STE 204, Montpelier, VT 05602-4327
- **Phone:** (802) 505-5026
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1114796489) · Data from the CMS NPPES public registry.