TIARA DOLORES RUDZINSKI AG-CNS BC
NPI 1346078052
Clinical Nurse Specialist in Grand Rapids, MI

Q: What is Tiara Rudzinski's NPI number?

The NPI number for Tiara Rudzinski is 1346078052. It was assigned to this individual provider in the NPPES registry on July 24, 2024.

Q: What is Tiara Rudzinski's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Q: When was this NPI record last updated?

The NPPES record for Tiara Rudzinski was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 24, 2024PECOS Enrolled

109 MICHIGAN ST NW STE 424, GRAND RAPIDS, MI 49503(616) 200-8435(616) 639-1319 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 15, 2024, Jul 27, 2024 (2 updates tracked since 2024).

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About Tiara Dolores Rudzinski Ag-cns Bc NPPES

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

TIARA DOLORES RUDZINSKI AG-CNS BC (NPI 1346078052) is an individual clinical nurse specialist in Grand Rapids, Michigan, licensed in Michigan (4704345043) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346078052

Entity TypeIndividualFemale

Primary Taxonomy364S00000X

Provider Legal NameTIARA DOLORES RUDZINSKICredential: AG-CNS BC

Location Address109 MICHIGAN ST NW STE 424Grand Rapids, MI 49503-3799

Mailing Address109 Michigan St Nw Ste 424Grand Rapids, MI 49503-3799 · (616) 200-8435 · Fax (616) 639-1319

Phone(616) 200-8435

Fax(616) 639-1319

Sole ProprietorNo

Enumeration DateJuly 24, 2024

Last NPPES UpdateJune 24, 20262 updates tracked since enumeration

NPPES CertifiedJune 24, 2026

✔ NPI 1346078052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364S00000X

License✔ Licensed in MI · 4704345043

Definition

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.

109 MICHIGAN ST NW STE 424, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiara Dolores Rudzinski Ag-cns Bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Tiara Rudzinski reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hope Network - Rehabilitation Services

5.0 mi

Brain Injury Medicine

1490 E BELTLINE AVE SE
Grand Rapids, MI 49506

Reassigned Medicare billing, Michigan enrollment
59 clinicians in this Medicare group

NPI 1528043544 (616) 940-0040

Hope Network West Michigan

13 mi

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

253 W GARDNER ST
Sparta, MI 49345

Reassigned Medicare billing, Michigan enrollment
23 clinicians in this Medicare group

NPI 1679558670 (616) 383-1046

Hope Network Behavioral Health Services

24 mi

Community Based Residential Treatment Facility, Mental Illness

17160 130TH AVE
Nunica, MI 49448

Reassigned Medicare billing, Michigan enrollment
31 clinicians in this Medicare group

NPI 1043295934 (616) 847-4460

Theoria Medical

97 mi

Internal Medicine

6247 GRAND RIVER RD STE 400
Brighton, MI 48114

Reassigned Medicare billing, Michigan enrollment
383 clinicians in this Medicare group

NPI 1164186946 (810) 215-7177

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

98 services24 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

30 services14 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 4

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

CHRISTINA PALIYEVA

Registered Nurse

109 MICHIGAN ST NW STE 424
GRAND RAPIDS, MI 49503

Kent County (616) 200-8435

MEGAN MARIE CARR DNP, FNP-BC

Nurse Practitioner (Family)

109 MICHIGAN ST NW STE 424
GRAND RAPIDS, MI 49503

Kent County (734) 834-9931

ALLISON MICHELLE LOVE FNP

Nurse Practitioner (Family)

109 MICHIGAN ST NW STE 424
GRAND RAPIDS, MI 49503

Kent County (616) 200-8547

RACHEL ANNE HOUSTON FNP

Nurse Practitioner (Family)

109 MICHIGAN ST NW STE 424
GRAND RAPIDS, MI 49503

Kent County (248) 563-7875

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 Tiara Rudzinski's NPI number?

The NPI number for Tiara Rudzinski is 1346078052. It was assigned to this individual provider in the NPPES registry on July 24, 2024.

Where is Tiara Rudzinski located?

Tiara Rudzinski practices at 109 Michigan St NW Ste 424, Grand Rapids, MI 49503. The listed phone number is (616) 200-8435.

What is Tiara Rudzinski's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Is Tiara Rudzinski enrolled in Medicare?

Yes. Tiara Rudzinski is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tiara Rudzinski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiara Rudzinski reassigns Medicare benefits to 4 organizations: Hope Network - Rehabilitation Services (Grand Rapids, MI), Hope Network West Michigan (Sparta, MI), Hope Network Behavioral Health Services (Nunica, MI) and Theoria Medical (Brighton, MI). Each 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 Tiara Rudzinski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiara Rudzinski accept?

Health plans from Priority Health and UnitedHealthcare list Tiara Rudzinski 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 Tiara Rudzinski was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.