Mr Michael Gerard Rutten, PMHNP-BC is a
Nurse Practitioner - Psychiatric/mental Health based in Dittmer, Missouri. Mr Michael Gerard Rutten is licensed to practice in Missouri (license number 2009004419) and his current practice location is
8350 State Route 30 # 63023, Dittmer, Missouri. He can be reached at his office (for appointments etc.) via phone at
(636) 944-4400.
NPI number for Mr Michael Gerard Rutten is 1619895372 and his current mailing address is 5633 Welmering Dr # 63123, Saint Louis, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619895372.
Provider's Profile
| Full Name | Mr Michael Gerard Rutten |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 8350 State Route 30 # 63023, Dittmer, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619895372
- Provider Enumeration Date: 07/08/2026
- Last Update Date: 07/08/2026
Medical Identifiers
Medical identifiers for Mr Michael Gerard Rutten such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619895372 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2009004419 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Michael Gerard Rutten is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Michael Gerard Rutten, PMHNP-BC 5633 Welmering Dr # 63123, Saint Louis, MO 63123-3659 Ph: (314) 440-6223 | Mr Michael Gerard Rutten, PMHNP-BC 8350 State Route 30 # 63023, Dittmer, MO 63023-1909 Ph: (636) 944-4400 |
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