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MICHIEL BRENT RUDDER FNP MSW
NPI 1841287109
Family Medicine in Bolivar, TN

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
622 WEST MARKET STREET, BOLIVAR, TN 38008(731) 658-4500(731) 658-4545 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michiel Brent Rudder Fnp Msw NPPES

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

MICHIEL BRENT RUDDER FNP MSW (NPI 1841287109) is an individual family medicine provider in Bolivar, Tennessee, licensed in Tennessee (RN131561) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1841287109
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHIEL BRENT RUDDERCredential: FNP MSW
Location Address622 WEST MARKET STREETBolivar, TN 38008
Mailing AddressPo Box 11567Jackson, TN 38308-0126 · (731) 661-0086 · Fax (731) 661-9702
Phone(731) 658-4500
Fax(731) 658-4545
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 3, 2005
Last NPPES UpdateMarch 7, 2023
✔ NPI 1841287109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · RN131561
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
622 WEST MARKET STREET, Bolivar, TN 38008
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Other Identifiers 1

Medicaid3909409TN

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

Michiel Brent Rudder Fnp Msw 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 ID6103013917
PECOS Enrollment IDI20101206001018
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
31 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services23 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

West Tennessee Healthcare Milan Hospital

Acute Care Hospitals · Milan, TN
OwnershipGovernment - Local
CMS Certification Number440060
Location4039 Highland StMilan, TN 38358 · Gibson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38008 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers41 claims114 services$6.21 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers26 claims31 services$1.06 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers31 claims31 services$17.03 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier24 claims24 services$38.21 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers31 claims31 services$88.44 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers14 claims3,244 services$0.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Michiel Rudder's NPI number?

The NPI number for Michiel Rudder is 1841287109. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Michiel Rudder located?

Michiel Rudder practices at 622 West Market Street, Bolivar, TN 38008. The listed phone number is (731) 658-4500.

What is Michiel Rudder's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michiel Rudder enrolled in Medicare?

Yes. Michiel Rudder 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.

Is Michiel Rudder affiliated with any hospitals?

According to CMS data, Michiel Rudder is affiliated with Jackson-Madison County General Hospital and West Tennessee Healthcare Milan Hospital.

When was this NPI record last updated?

The NPPES record for Michiel Rudder was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.