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KANESHA ELISE RUTHERFORD MS
NPI 1619342060
Case Manager/Care Coordinator in Vinita, OK

Active since December 10, 2015PECOS Enrolled
405 E EXCELSIOR AVE, VINITA, OK 74301(918) 256-6476(918) 256-3628 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 20, 2019, Jan 11, 2016, Dec 10, 2015 (3 updates tracked since 2015).

About Kanesha Elise Rutherford Ms NPPES

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

KANESHA ELISE RUTHERFORD MS (NPI 1619342060) is an individual case manager/care coordinator provider in Vinita, Oklahoma and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619342060
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKANESHA ELISE RUTHERFORDCredential: MS
Location Address405 E EXCELSIOR AVEVinita, OK 74301-4226
Mailing Address42879 County Road 570Eucha, OK 74342-5054 · (918) 264-2837 · Fax (918) 256-3628
Phone(918) 256-6476
Fax(918) 256-3628
Sole ProprietorNo
Enumeration DateDecember 10, 2015
Last NPPES UpdateNovember 20, 20193 updates tracked since enumeration
✔ NPI 1619342060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
405 E EXCELSIOR AVE, Vinita, OK 74301
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Other Names 1

Other Name (5)Elise Rutherford

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kanesha Elise Rutherford Ms 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 Reassignment

Medicare enrollment records show Kanesha Rutherford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grand Lake Mental Health Center Inc.
Same address
Mental Health (Including Community Mental Health Center)
405 E EXCELSIOR AVE
Vinita, OK 74301
  • Reassigned Medicare billing, Oklahoma enrollment
  • 333 clinicians in this Medicare group
NPI 1679983696 (918) 256-6476

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

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.

ANISSA MARIE MAYHEW
Case Manager/Care Coordinator
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 245-6476
KARLEE GIBSON
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
CHRSITINA HART
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
JUSTIN LYNN CICOTTE
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
STEVEN RAY COATNEY
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
ELISABETH TENNEH BIMBA
Registered Nurse
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
KIMBERLY ANN CASHION
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 344-1577
CHRYSTAL BRASSFIELD MS
Counselor (Mental Health)
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476

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 Kanesha Rutherford's NPI number?

The NPI number for Kanesha Rutherford is 1619342060. It was assigned to this individual provider in the NPPES registry on December 10, 2015. The provider is also known as Elise Rutherford.

Where is Kanesha Rutherford located?

Kanesha Rutherford practices at 405 E Excelsior Ave, Vinita, OK 74301. The listed phone number is (918) 256-6476.

What is Kanesha Rutherford's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Is Kanesha Rutherford enrolled in Medicare?

Yes. Kanesha Rutherford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kanesha Rutherford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kanesha Rutherford reassigns Medicare benefits to Grand Lake Mental Health Center Inc. (Vinita, OK). 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 Kanesha Rutherford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kanesha Rutherford accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Kanesha Rutherford 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 Kanesha Rutherford was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.