Emily Alyse Rudolph, MSN
Nurse Practitioner, Psych/Mental Health in Kalamazoo, MI. Individual provider (NPI-1).
NPI number1346068673
StatusActive
Last updated in NPPESAug 24, 2026
Details
- NPI
- 1346068673
- Entity type
- Individual (NPI-1)
- Name
- Emily Alyse Rudolph
- Credential
- MSN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2024
- Certification date
- Aug 24, 2026
- Last updated
- Aug 24, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 4704368328 | MI | Yes |
Practice location
601 John StKalamazoo, MI 49007-5341
Phone 269-341-6386
Mailing address
29596 29th StPaw Paw, MI 49079-8426
Phone 269-599-5717
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 13 Psychiatric/Mental Health Nurse Practitioner providers in Kalamazoo · All 7,754 providers in Kalamazoo
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