MS. HOLLY JEAN RUTTAN NP-C NPI 1194278705

NPI Information

  • NPI: 1194278705
  • Provider Name: MS. HOLLY JEAN RUTTAN, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7301 SECOR RD
    LAMBERTVILLE, MI
    ZIP 48144
  • Phone: (419) 479-5795

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NPI Details

MS. Holly Jean Ruttan, NP-C is a family nurse practitioner in Lambertville, MI with 9 years of experience. MS. Holly Jean Ruttan, NP-C NPI is 1194278705. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7301 SECOR RD
LAMBERTVILLE, MI
ZIP 48144-737
Phone: (419) 479-5795

The NPI 1194278705 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) (HCPCS:J7308)
  • Application of light with debridement to destroy precancer skin growth (HCPCS:96574)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
  • Biopsy of ear (HCPCS:69100)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less (HCPCS:12031)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 7/31/2016 and was last updated on 4/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAPRN.CNP.019430OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10182767MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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