Colleen Janis Rusk, RN
Nurse Practitioner, Family in Warwick, RI. Individual provider (NPI-1).
NPI number1609593433
StatusActive
Last updated in NPPESJul 9, 2024
Details
- NPI
- 1609593433
- Entity type
- Individual (NPI-1)
- Name
- Colleen Janis Rusk
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2022
- Certification date
- Jul 9, 2024
- Last updated
- Jul 9, 2024
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 |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN04062 | RI | Yes |
| 163WS0200X | Registered Nurse, School | RN59017 | RI | |
| 163WE0003X | Registered Nurse, Emergency | RN2322910 | MA |
Practice location
307 Greenwich Ave Apt E305Warwick, RI 02886-1661
Phone 860-287-2901
Mailing address
307 Greenwich Ave Apt E305Warwick, RI 02886-1661
Phone 860-287-2901
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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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