KENNETH RUPP R.N.
NPI 1740724111
Registered Nurse in Charlestown, MA

Q: What is Kenneth Rupp's NPI number?

The NPI number for Kenneth Rupp is 1740724111. It was assigned to this individual provider in the NPPES registry on December 5, 2016.

Q: What is Kenneth Rupp's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Rupp was last updated on December 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since December 05, 2016PECOS EnrolledAccepts Medicare Assignment

529 MAIN ST STE 222, CHARLESTOWN, MA 02129(857) 276-2261 Get Directions Write a Review

NPPES record last updated: December 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kenneth Rupp R.n. NPPES

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

KENNETH RUPP R.N. (NPI 1740724111) is an individual registered nurse in Charlestown, Massachusetts, licensed in Massachusetts (RN281308) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1740724111

Entity TypeIndividualMale

Primary Taxonomy163W00000X

Provider Legal NameKENNETH RUPPCredential: R.N.

Location Address529 MAIN ST STE 222Charlestown, MA 02129-1101

Mailing Address529 Main St Ste 222Charlestown, MA 02129-1101 · (857) 276-2261

Phone(857) 276-2261

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 5, 2016

✔ NPI 1740724111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in MA · RN281308

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

529 MAIN ST STE 222, Charlestown, MA 02129

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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

Kenneth Rupp R.n. 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 ID3971949462

PECOS Enrollment IDI20240306003467

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.

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.

MRS. ERIN ANNE BOLGER FNP-BC

Nurse Practitioner (Family)