MRS. KELLY MARIE RUDROFF RN, MSN
NPI 1609216159
Nurse Practitioner - Family in Saint Louis, MO
About Mrs. Kelly Marie Rudroff Rn, Msn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY MARIE RUDROFF RN, MSN (NPI 1609216159) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2016042952) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kelly Marie Rudroff Rn, Msn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63106 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63106
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 Kelly Rudroff's NPI number?
The NPI number for Kelly Rudroff is 1609216159. It was assigned to this individual provider in the NPPES registry on June 28, 2013.
Where is Kelly Rudroff located?
Kelly Rudroff practices at 915 N Grand Blvd, Saint Louis, MO 63106. The listed phone number is (314) 652-4100.
What is Kelly Rudroff's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Rudroff enrolled in Medicare?
Yes. Kelly Rudroff is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelly Rudroff was last updated on April 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Mrs. Kelly Marie Rudroff, RN, MSN · NPI 1609216159
Family physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since June 28, 2013.
## Identity
- **NPI:** 1609216159 (Entity type: Individual)
- **Enumerated:** June 28, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2016042952 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 915 N GRAND BLVD, Saint Louis, MO 63106
- **Phone:** (314) 652-4100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 14, 2018
- **Other identifiers:** Other 1609216159 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1609216159) · Data from the CMS NPPES public registry.