MRS. KRISTINE LEE RUTT PNP
NPI 1134328693
Nurse Practitioner - Pediatrics in Mesa, AZ
About Mrs. Kristine Lee Rutt Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KRISTINE LEE RUTT PNP (NPI 1134328693) is an individual pediatrics provider in Mesa, Arizona, licensed in Arizona (RN069290) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kristine Lee Rutt Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristine Rutt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mesa, AZ 85202
- Reassigned Medicare billing, Arizona enrollment
- 188 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MESA, AZ 85202
MESA, AZ 85202
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 Kristine Rutt's NPI number?
The NPI number for Kristine Rutt is 1134328693. It was assigned to this individual provider in the NPPES registry on July 15, 2007.
Where is Kristine Rutt located?
Kristine Rutt practices at 1432 S Dobson Rd, Mesa, AZ 85202. The listed phone number is (602) 689-8685.
What is Kristine Rutt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Kristine Rutt enrolled in Medicare?
Yes. Kristine Rutt is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristine Rutt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Rutt reassigns Medicare benefits to Banner Physician Super Specialists Arizona LLC (Mesa, AZ). 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 Kristine Rutt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristine Rutt accept?
Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Kristine Rutt 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 Kristine Rutt was last updated on January 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mrs. Kristine Lee Rutt, PNP · NPI 1134328693
Pediatrics physician in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since July 15, 2007.
## Identity
- **NPI:** 1134328693 (Entity type: Individual)
- **Enumerated:** July 15, 2007
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** RN069290 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1432 S DOBSON RD, Mesa, AZ 85202-4768
- **Phone:** (602) 689-8685
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Banner Physician Super Specialists Arizona LLC (NPI 1790337665, Mesa, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 22, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1134328693) · Data from the CMS NPPES public registry.