RUTHERFORD PMHNP-BC PLLC
NPI 1134923717
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since April 02, 2025
41705 N CLUB POINTE DR, PHOENIX, AZ 85086(520) 334-0041(480) 621-7872 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rutherford Pmhnp-bc Pllc NPPES

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

RUTHERFORD PMHNP-BC PLLC (NPI 1134923717) is a healthcare organization registered as a psychiatric/mental health in Phoenix, Arizona and active in the NPI registry since April 2025. The organization lists Luana Rutherford, Owner, as its authorized official.

NPPES Registry Identity

NPI1134923717
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameRUTHERFORD PMHNP-BC PLLC
Location Address41705 N CLUB POINTE DRPhoenix, AZ 85086-1961
Mailing Address1303 N Regatta DrGilbert, AZ 85234-2857 · (520) 334-0941 · Fax (480) 621-7872
Fax(480) 621-7872
Organization SubpartNo
Authorized OfficialLuana RutherfordOwner · (520) 334-0941
Enumeration DateApril 2, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1134923717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
41705 N CLUB POINTE DR, Phoenix, AZ 85086

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rutherford Pmhnp-bc 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 Rutherford Pmhnp-Bc PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1194287391
41705 N CLUB POINTE DR
Phoenix, AZ 85086
(520) 334-0041
✔ PECOS✔ Accepts MedicareSame address

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 Rutherford Pmhnp-Bc PLLC's NPI number?

The NPI number for Rutherford Pmhnp-Bc PLLC is 1134923717. It was assigned to this organization in the NPPES registry on April 2, 2025.

Where is Rutherford Pmhnp-Bc PLLC located?

Rutherford Pmhnp-Bc PLLC is located at 41705 N Club Pointe Dr, Phoenix, AZ 85086. The listed phone number is (520) 334-0041.

What is Rutherford Pmhnp-Bc PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Rutherford Pmhnp-Bc PLLC enrolled in Medicare?

Yes. Rutherford Pmhnp-Bc PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rutherford Pmhnp-Bc PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Rutherford Pmhnp-Bc 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.

When was this NPI record last updated?

The NPPES record for Rutherford Pmhnp-Bc PLLC was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.