Stanley Ruder, PMHNP in Niles, MI - Medicare Nurse Practitioner

Stanley Ruder, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Niles, Michigan. His current practice location is 1951 Oak St, Niles, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 262-4749.

Stanley Ruder is licensed to practice in Illinois (license number 209015000) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477099935.

Contact Information

	Stanley Ruder, PMHNP
	1951 Oak St, Niles, MI 49120-3738
	(269) 262-4749
	(269) 262-4739

Map and Direction

Provider's Profile

Full Name	Stanley Ruder
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1951 Oak St, Niles, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477099935
Provider Enumeration Date: 01/09/2017
Last Update Date: 08/26/2025

Medicare PECOS Information:

PECOS PAC ID: 2769767391
Enrollment ID: I20170322002807

Medical Identifiers

Medical identifiers for Stanley Ruder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477099935	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209.015000 (Illinois)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209015000 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stanley Ruder allows following entities to bill medicare on his behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158

Entity Name	Howard Brown Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306048632 PECOS PAC ID: 1052203155 Enrollment ID: O20040325000526

Entity Name	Wise Health Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891969903 PECOS PAC ID: 4789743436 Enrollment ID: O20081110000517

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. Stanley Ruder is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stanley Ruder, PMHNP 1951 Oak St, Niles, MI 49120-3738 Ph: (269) 262-4749	Stanley Ruder, PMHNP 1951 Oak St, Niles, MI 49120-3738 Ph: (269) 262-4749

Reviews and Comments

Nurse Practitioner Nurses in Niles, MI

Rebecca L Krzysiak, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 N Saint Joseph Ave Ste 101, Niles, MI 49120 Phone: 269-687-4673 Fax: 269-687-1798
Laurie Ann Gee, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 N Saint Joseph Ave, Suite 201, Niles, MI 49120 Phone: 269-687-0808 Fax: 269-687-0811
Elizabeth Zech, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42 N Saint Joseph Ave, Suite 201, Niles, MI 49120 Phone: 269-687-0808 Fax: 269-687-0811
Aaron Joseph Lanning, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 N Saint Joseph Ave Ste 300, Niles, MI 49120 Phone: 269-687-2910 Fax: 269-687-8770
Genna Marie Grondin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42 N Saint Joseph Ave Ste 100, Niles, MI 49120 Phone: 696-846-6962 Fax: 269-687-1798
Lauren-shylene Luna Toscano, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 Fax: 269-684-0199
Eunice Hamilton, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1211 Stateline Rd, Niles, MI 49120 Phone: 269-684-2810 Fax: 248-218-9996

Stanley Ruder, PMHNP - Medicare Nurse Practitioner in Niles, MI