JACQUELINE KAY RUTHERFORD NP
NPI 1205122249
Nurse Practitioner - Family in Decatur, AL

Active since June 28, 2011PECOS EnrolledAccepts Medicare Assignment
1874 BELTLINE RD SW, DECATUR, AL 35601(256) 355-1518 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Kay Rutherford Np NPPES

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

JACQUELINE KAY RUTHERFORD NP (NPI 1205122249) is an individual family provider in Decatur, Alabama, licensed in Alabama (1-076446) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cullman, and is a graduate of University Of South Alabama College Of Medicine (2011).

NPPES Registry Identity

NPI1205122249
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE KAY RUTHERFORDCredential: NP
Location Address1874 BELTLINE RD SWDecatur, AL 35601-5514
Mailing Address1249 County Road 825Logan, AL 35098-1440 · (256) 747-4281
Sole ProprietorYes
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2011
Enumeration DateJune 28, 2011
Last NPPES UpdateDecember 31, 2025
NPPES CertifiedDecember 31, 2025
NPI 1205122249 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 AL · 1-076446
1874 BELTLINE RD SW, Decatur, AL 35601

Secondary Practice Location 1

Location 11958 AL Highway 157Cullman, AL 35058-0609 · Phone (256) 737-2090 · Fax (256) 737-2091

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Kay Rutherford Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587832472
PECOS Enrollment IDI20110720000371
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 35601 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

Pediatrics
1874 BELTLINE RD SW, SUITE 110
DECATUR, AL 35601
Obstetrics & Gynecology
1874 BELTLINE RD SW, SUITE 300
DECATUR, AL 35601
Nurse Practitioner (Family)
1874 BELTLINE RD SW
DECATUR, AL 35601
Anesthesiology
1874 BELTLINE RD SW
DECATUR, AL 35601
Pharmacist
1874 BELTLINE RD SW
DECATUR, AL 35601
Nurse Anesthetist, Certified Registered
1874 BELTLINE RD SW
DECATUR, AL 35601
Clinic/Center
1874 BELTLINE RD SW, SUITE 120
DECATUR, AL 35601
Nurse Practitioner (Family)
1874 BELTLINE RD SW
DECATUR, AL 35601

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 Jacqueline Rutherford's NPI number?

The NPI number for Jacqueline Rutherford is 1205122249. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Where is Jacqueline Rutherford located?

Jacqueline Rutherford practices at 1874 Beltline Rd SW, Decatur, AL 35601. The listed phone number is (256) 355-1518.

What is Jacqueline Rutherford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacqueline Rutherford enrolled in Medicare?

Yes. Jacqueline Rutherford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacqueline Rutherford was last updated on December 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.