Julie Rudd, PA-C
NPI 1417477621 · Physician Assistant · Green Bay, WI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Julie Rudd, PA-C is a Physician Assistant provider in Green Bay, WI (NPI 1417477621).
Provider details
- NPI number
- 1417477621
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 4050-23 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 720 S Vanburen StSuite 101Green Bay, WI 54301-3504Phone: (920) 468-3444Fax: (920) 432-6313
- 2820 Roosevelt RdMarinette, WI 54143-3834Phone: (715) 735-5225Fax: (715) 735-5388
Registry dates
- Enumerated
- 2017-06-20
- Last updated
- 2021-09-13
- Certified
- 2021-08-26
Frequently asked questions
- What is Julie Rudd's NPI number?
- Julie Rudd's National Provider Identifier (NPI) is 1417477621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Julie Rudd's specialty?
- Julie Rudd is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Julie Rudd located?
- Julie Rudd's practice location on file with NPPES is 704 S Webster Ave, Green Bay, WI 54301-3528.
- What is Julie Rudd's phone number?
- The practice phone number listed in the NPPES registry for Julie Rudd is (920) 433-3430.
- Does Julie Rudd accept Medicare?
- Julie Rudd is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Julie Rudd's NPI active?
- Yes — Julie Rudd's NPI (1417477621) is active in the NPPES registry as of the last update on 2021-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.