SONYA KAY RUEDLINGER MSN, FNP-C, PMHNP-BC
NPI 1245586718
Nurse Practitioner - Psychiatric/Mental Health in Indianapolis, IN
NPI Status: Active since August 02, 2012
Contact Information
2611 WATERFRONT PARKWAY EAST DR STE 370
INDIANAPOLIS, IN
ZIP 46214
Phone: (317) 978-0257
Fax: (317) 974-9077
- Individual
- Female
- Years of Experience 12
- Nurse Practitioner
- Psychiatric/Mental Health
- PECOS Enrolled
- Accepts Medicare Approved Payment
About SONYA RUEDLINGER
Sonya Ruedlinger is a provider established in Indianapolis, Indiana and her medical specialization is Nurse Practitioner with a focus in psychiatric/mental health with more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1245586718 assigned on August 2012. The practitioner's primary taxonomy code is 363LP0808X with license number 71004057A (IN). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1245586718
- Provider Name
- SONYA KAY RUEDLINGER MSN, FNP-C, PMHNP-BC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2611 WATERFRONT PARKWAY EAST DR STE 370 INDIANAPOLIS, IN 46214
- Location Phone
- (317) 978-0257
- Location Fax
- (317) 974-9077
- Mailing Address
- 2611 WATERFRONT PARKWAY EAST DR STE 370 INDIANAPOLIS, IN 46214
- Mailing Phone
- (317) 978-0257
- Mailing Fax
- (317) 974-9077
- Medical School Name
- OTHER
- Graduation Year
- 2012
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-02-2012
- Last Update Date
- 05-21-2021
- Code Navigator
A nurse practitioner (NP) like Sonya Ruedlinger is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Sonya Ruedlinger is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.13 for a new patient copayment and $24.53 for an established patient copayment.
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 71004057A
- License State
- IN
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 28144086A (IN) |
2 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 71004057A (IN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Aetna CVS Health
- Bronze 2 HSA: Aetna network of doctors & hospitals + MinuteClinic + Virtual Care 24/7 - HMO
- Bronze 4: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 5: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 6: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 7: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
CareSource
- CareSource Marketplace Bronze First - HMO
- CareSource Marketplace Bronze First Dental, Vision, & Fitness - HMO
- CareSource Marketplace Core Gold - HMO
- CareSource Marketplace Core Gold Dental, Vision, & Fitness - HMO
- CareSource Marketplace Core Silver - HMO
- CareSource Marketplace Core Silver Dental, Vision, & Fitness - HMO
- CareSource Marketplace Diabetes Gold - HMO
- CareSource Marketplace Diabetes Gold Dental, Vision, & Fitness - HMO
- CareSource Marketplace Diabetes Silver - HMO
- CareSource Marketplace Diabetes Silver Dental, Vision, & Fitness - HMO
- CareSource Marketplace Essential Silver - HMO
- CareSource Marketplace Essential Silver Dental, Vision, & Fitness - HMO
- CareSource Marketplace Gold - HMO
- CareSource Marketplace Gold Dental, Vision, & Fitness - HMO
- CareSource Marketplace HSA Eligible Bronze - HMO
Cigna Healthcare
- Connect Bronze 0 Indiv Med Deductible - EPO
- Connect Bronze 3500 Indiv Med Deductible - EPO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 500 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3000 Indiv Med Deductible - EPO
- Connect Silver 4000 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 7000 Indiv Med Deductible - EPO
- Connect Silver 8000 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
PECOS Enrollment and Medicare Participation Status
Sonya Ruedlinger is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1456503887
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20121212000230
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 46214 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.54
- Minimum New Patient Price $54.76
- Maximum New Patient Price $167.54
- Average New Patient Copayment $21.13
- Minimum New Patient Copayment $13.69
- Maximum New Patient Copayment $41.88
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.12
- Minimum Established Patient Price $16.96
- Maximum Established Patient Price $137.16
- Average Established Patient Copayment $24.53
- Minimum Established Patient Copayment $4.24
- Maximum Established Patient Copayment $34.29
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for SONYA KAY RUEDLINGER MSN, FNP-C, PMHNP-BC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 4 | 5 | 5 | 8 | 6 | 7 | 1 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 8 | 5 | 10 | 8 | 12 | 7 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 8 + 5 + 1 + 0 + 8 + 1 + 2 + 7 + 2 + 24 = 62 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 62 = 8 | 8 |
The NPI number 1245586718 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1851960702 | RACHAEL BIRGE APRN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 2611 WATERFRONT PARKWAY EAST DR STE 370 INDIANAPOLIS, IN 46214 (317) 978-0257 |
1154093615 | JESSICA MILLER-COMBS Individual | Social Worker | 2611 WATERFRONT PARKWAY EAST DR STE 370 INDIANAPOLIS, IN 46214 (317) 978-0257 |
1881054575 | HEATHER M HARE Individual | Nurse Practitioner (Psychiatric/Mental Health) | 2611 WATERFRONT PARKWAY EAST DR STE 370 INDIANAPOLIS, IN 46214 (317) 978-0257 |
1356959068 | INDY BEHAVIORAL HEALTH INC Organization | Nurse Practitioner (Psychiatric/Mental Health) | 2611 WATERFRONT PARKWAY EAST DR STE 370 INDIANAPOLIS, IN 46214 (317) 978-0257 |
1659836864 | LYNN MARIE WILHITE LSW Individual | Social Worker | 2611 WATERFRONT PARKWAY EAST DR STE 370 INDIANAPOLIS, IN 46214 (317) 978-0257 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245586718, enumerated in the NPI registry as an "individual" on August 02, 2012
The provider is located at 2611 Waterfront Parkway East Dr Ste 370 Indianapolis, In 46214 and the phone number is (317) 978-0257
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
The provider has more than 12 years of experience.
The provider might be accepting Accepts: Aetna CVS Health, CareSource and Cigna Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.54 with an average copayment of $21.13 for new patient appointments. Established patients should expect a typical charge of $98.12 and an average copayment of 24.53. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 02, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.