STANLEY RUDER PMHNP
NPI 1477099935
Nurse Practitioner - Psychiatric/Mental Health in Niles, MI
About Stanley Ruder Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STANLEY RUDER PMHNP (NPI 1477099935) is an individual psychiatric/mental health provider in Niles, Michigan, licensed in Michigan (4704372138) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cassopolis, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stanley Ruder Pmhnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Stanley Ruder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Niles, MI 49120
- Reassigned Medicare billing, Michigan enrollment
- 33 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 49120 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stanley Ruder's NPI number?
The NPI number for Stanley Ruder is 1477099935. It was assigned to this individual provider in the NPPES registry on January 9, 2017.
Where is Stanley Ruder located?
Stanley Ruder practices at 1951 Oak St, Niles, MI 49120. The listed phone number is (269) 262-4749.
What is Stanley Ruder's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Stanley Ruder enrolled in Medicare?
Yes. Stanley Ruder 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.
Which organization bills Medicare for Stanley Ruder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stanley Ruder reassigns Medicare benefits to Lakeland Immediate Care Center (Niles, MI). 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 Stanley Ruder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stanley Ruder accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Stanley Ruder 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 Stanley Ruder was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.
# Stanley Ruder, PMHNP · NPI 1477099935
Psychiatric/Mental Health physician in Niles, Michigan. Individual provider, active in the CMS NPPES registry since January 9, 2017.
## Identity
- **NPI:** 1477099935 (Entity type: Individual)
- **Enumerated:** January 9, 2017
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 4704372138 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1951 OAK ST, Niles, MI 49120-3738
- **Phone:** (269) 262-4749 · **Fax:** (269) 262-4739
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lakeland Immediate Care Center (NPI 1760802912, Niles, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 29, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1477099935) · Data from the CMS NPPES public registry.