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Mark Rudnik

Licensed Practical Nurse β€’ Pueblo, CO

Active NPI 1831597657 Individual Practitioner Male Practitioner
Practice location in NPPES

41 Montebello Rd, Suite Ll2
Pueblo, CO 810011379

Call 7195452746 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

41 Montebello Rd
Suite Ll2

Pueblo, CO 810011379

Telephone 7195452746
Fax 7195429347
Organization at the Same NPPES Address or Phone
Spanish Peaks New Alternatives, Inc. Facility NPI 1508250911

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pueblo and Colorado

30 active clinicians are listed under Licensed Practical Nurse with a practice address in Pueblo, CO (702 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pueblo

0% of these 30 clinicians have the CMS telehealth indicator.

0% of these 30 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES CO PN.0041707

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Beacon
PN.0027215 (CO)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Monica Flynn , APRN-NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013283241

APRNNP

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active February 13, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 13, 2017

Registered at 41 MONTEBELLO RD, SUITE LL2, PUEBLO, CO 810011379 (Tel: 7195452746)

πŸ“
Updated Business Mailing Address February 13, 2017

Registered at 41 MONTEBELLO RD, SUITE 200, PUEBLO, CO 810011379 (Tel: 7195452746)

πŸ‘€
Provider Name / Credentials Updated February 13, 2017

Recorded as MARK RUDNIK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2017

Licensed Practical Nurse (license number reported to NPPES: CO PN.0041707)

βœ…
NPI Profile Active December 10, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 10, 2014

Registered at 1310 CHINOOK LN, PUEBLO, CO 810011851 (Tel: 7195452746)

πŸ“
Business Mailing Address (Initial Record) December 10, 2014

Registered at 1026 W ABRIENDO AVE, PUEBLO, CO 810041128 (Tel: 7195452746)

πŸ‘€
Provider Name / Credentials (Initial Record) December 10, 2014

Recorded as MARK RUDNIK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2014

Licensed Practical Nurse (license number reported to NPPES: CO PN.0041707)

🟒
Initial NPI Registration & Enumeration December 10, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831597657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2014
Last Update: February 13, 2017
Sole Proprietor: No

Mailing Address

41 Montebello Rd, Suite 200

Pueblo, CO 810011379

Phone: 7195452746

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.