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EMILY RUTT CPNP-AC
NPI 1508301276
Nurse Practitioner - Pediatrics, Critical Care in Hershey, PA

Active since January 04, 2017PECOS Enrolled
500 UNIVERSITY DR, HERSHEY, PA 17033(717) 531-3558(717) 531-0668 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2019, Jan 4, 2017 (2 updates tracked since 2017).

About Emily Rutt Cpnp-ac NPPES

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

EMILY RUTT CPNP-AC (NPI 1508301276) is an individual pediatrics, critical care provider in Hershey, Pennsylvania, licensed in Pennsylvania (SP033191) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Memphis, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1508301276
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameEMILY RUTTCredential: CPNP-AC
Location Address500 UNIVERSITY DRHershey, PA 17033-2360
Mailing Address500 University Dr Mc Ca410Hershey, PA 17033-2360 · (717) 531-5208 · Fax (717) 531-0119
Phone(717) 531-3558
Fax(717) 531-0668
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 4, 2017
Last NPPES UpdateAugust 1, 20252 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
✔ NPI 1508301276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License✔ Licensed in PA · SP033191
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 22137 (TN)
500 UNIVERSITY DR, Hershey, PA 17033
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Other Names 1

Professional Name (2)Ms. Emily R Rutt Cpnp-ac

Secondary Practice Location 1

Location 1262 Danny Thomas PlMemphis, TN 38105-3678 · Phone (901) 595-5400 · Fax (901) 595-0913

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Rutt Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305345695
PECOS Enrollment IDI20250814003205
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 17033 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 20

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

MR. DANIEL MICHAEL WEISS I PA-C
Physician Assistant
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-7299
NICOLE SWALLOW M.D.
Internal Medicine
500 UNIVERSITY DR, H088
HERSHEY, PA 17033
Dauphin County (717) 531-1692
NEERAV GOYAL M.D.
Otolaryngology
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
KARIMA C FITZGERALD M.D.
Surgery (Trauma Surgery)
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8887
DR. ANTHONY SIMON BONAVIA M.D.
Anesthesiology (Critical Care Medicine)
500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033
Dauphin County (717) 531-8521
DR. HIROKO SHIKE MD
Pathology (Clinical Pathology/Laboratory Medicine)
500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033
Dauphin County (717) 531-8615
MARIUM TARIQ M.D.
Family Medicine
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
KANTHI BANGALORE KRISHNA MBBS
Pediatrics (Pediatric Endocrinology)
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (800) 243-1455

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 Emily Rutt's NPI number?

The NPI number for Emily Rutt is 1508301276. It was assigned to this individual provider in the NPPES registry on January 4, 2017. The provider is also known as Ms. Emily R Rutt Cpnp-Ac.

Where is Emily Rutt located?

Emily Rutt practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (717) 531-3558.

What is Emily Rutt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Emily Rutt enrolled in Medicare?

Yes. Emily Rutt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emily Rutt was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.