STANLEY RUDER PMHNP
NPI 1477099935
Nurse Practitioner - Psychiatric/Mental Health in Niles, MI

Active since January 09, 2017PECOS EnrolledAccepts Medicare Assignment
1951 OAK ST, NILES, MI 49120(269) 262-4749(269) 262-4739 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2026, Sep 12, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

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

NPI1477099935
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSTANLEY RUDERCredential: PMHNP
Location Address1951 OAK STNiles, MI 49120-3738
Mailing Address1951 Oak StNiles, MI 49120-3738 · (269) 262-4749 · Fax (269) 262-4739
Fax(269) 262-4739
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 9, 2017
Last NPPES UpdateJanuary 7, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
NPI 1477099935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MI · 4704372138
1951 OAK ST, Niles, MI 49120

Secondary Practice Location 1

Location 1261 M 62Cassopolis, MI 49031-1034 · Phone (269) 445-3874 · Fax (269) 445-1930

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 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.

PECOS PAC ID2769767391
PECOS Enrollment IDI20210407002005
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 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.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
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 15

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

Pharmacist
1951 OAK ST
NILES, MI 49120
Pharmacist
1951 OAK ST
NILES, MI 49120
Nurse Practitioner (Family)
1951 OAK ST
NILES, MI 49120
Dentist (General Practice)
1951 OAK ST
NILES, MI 49120
Dentist (General Practice)
1951 OAK ST
NILES, MI 49120
Social Worker (Clinical)
1951 OAK ST
NILES, MI 49120
Pharmacy (Community/Retail Pharmacy)
1951 OAK ST
NILES, MI 49120
Family Medicine
1951 OAK ST
NILES, MI 49120

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.

What insurance does Stanley Ruder accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Oscar Insurance Company and 1 other insurer 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 January 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.