STEPHANIE RUDIN
NPI 1174392948
Nurse Practitioner - Family in Amsterdam, NY
About Stephanie Rudin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE RUDIN (NPI 1174392948) is an individual family provider in Amsterdam, New York, licensed in New York (351065) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephanie Rudin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Rudin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Amsterdam, NY 12010
- Reassigned Medicare billing, New York enrollment
- 8 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 12010 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.
AMSTERDAM, NY 12010
AMSTERDAM, NY 12010
AMSTERDAM, NY 12010
AMSTERDAM, NY 12010
AMSTERDAM, NY 12010
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 Stephanie Rudin's NPI number?
The NPI number for Stephanie Rudin is 1174392948. It was assigned to this individual provider in the NPPES registry on December 21, 2023.
Where is Stephanie Rudin located?
Stephanie Rudin practices at 5010 State Highway 30, Amsterdam, NY 12010. The listed phone number is (518) 842-0017.
What is Stephanie Rudin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stephanie Rudin enrolled in Medicare?
Yes. Stephanie Rudin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stephanie Rudin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Rudin reassigns Medicare benefits to Emily T. Etzkorn, M.D., P.C. (Amsterdam, NY). 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 Stephanie Rudin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stephanie Rudin was last updated on December 21, 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.
# Stephanie Rudin · NPI 1174392948
Family physician in Amsterdam, New York. Individual provider, active in the CMS NPPES registry since December 21, 2023.
## Identity
- **NPI:** 1174392948 (Entity type: Individual)
- **Enumerated:** December 21, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 351065 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 5010 STATE HIGHWAY 30, Amsterdam, NY 12010-7532
- **Phone:** (518) 842-0017
## 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:** Emily T. Etzkorn, M.D., P.C. (NPI 1396856530, Amsterdam, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1174392948) · Data from the CMS NPPES public registry.