GABRIELLE ARLINE RUTHERFORD
NPI 1295534634
Nurse Practitioner in Green Bay, WI

Active since March 10, 2025PECOS Enrolled
2581 DEVELOPMENT DR, GREEN BAY, WI 54311(920) 347-0400(920) 347-0868 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2026, Mar 13, 2025 (2 updates tracked since 2025).

About Gabrielle Arline Rutherford NPPES

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

GABRIELLE ARLINE RUTHERFORD (NPI 1295534634) is an individual nurse practitioner in Green Bay, Wisconsin, licensed in Wisconsin (25197330) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1295534634
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameGABRIELLE ARLINE RUTHERFORD
Location Address2581 DEVELOPMENT DRGreen Bay, WI 54311-4247
Mailing Address1035 Kepler DrGreen Bay, WI 54311-8320 · (920) 490-9046 · Fax (920) 405-8005
Fax(920) 347-0868
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 10, 2025
Last NPPES UpdateMay 19, 20262 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
NPI 1295534634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 25197330
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 25197330 (WI)
2581 DEVELOPMENT DR, Green Bay, WI 54311

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gabrielle Arline Rutherford is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315453560
PECOS Enrollment IDI20250723002729
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 54311 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Dentist (Oral and Maxillofacial Surgery)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Dentist (Oral and Maxillofacial Surgery)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Nurse Practitioner (Family)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Oral & Maxillofacial Surgery
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Dentist (Oral and Maxillofacial Surgery)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Dentist (Oral and Maxillofacial Surgery)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Dentist (Periodontics)
2581 DEVELOPMENT DR, SUITE 204
GREEN BAY, WI 54311

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 Gabrielle Rutherford's NPI number?

The NPI number for Gabrielle Rutherford is 1295534634. It was assigned to this individual provider in the NPPES registry on March 10, 2025.

Where is Gabrielle Rutherford located?

Gabrielle Rutherford practices at 2581 Development Dr, Green Bay, WI 54311. The listed phone number is (920) 347-0400.

What is Gabrielle Rutherford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Gabrielle Rutherford enrolled in Medicare?

Yes. Gabrielle Rutherford is registered in the Medicare PECOS enrollment system.

What insurance does Gabrielle Rutherford accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Gabrielle Rutherford 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 Gabrielle Rutherford was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.