Dale Rustad, MD
NPI 1780617720 · Pediatrics Physician · De Pere, WI
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dale Rustad, MD is a Pediatrics Physician provider in De Pere, WI (NPI 1780617720).
Provider details
- NPI number
- 1780617720
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 35465 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2008-08-13
Frequently asked questions
- What is Dale Rustad's NPI number?
- Dale Rustad's National Provider Identifier (NPI) is 1780617720, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dale Rustad's specialty?
- Dale Rustad is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Dale Rustad located?
- Dale Rustad's practice location on file with NPPES is 3860 Monroe Rd, De Pere, WI 54115-8399.
- What is Dale Rustad's phone number?
- The practice phone number listed in the NPPES registry for Dale Rustad is (920) 496-4700.
- Does Dale Rustad accept Medicare?
- Dale Rustad is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dale Rustad's NPI active?
- Yes — Dale Rustad's NPI (1780617720) is active in the NPPES registry as of the last update on 2008-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.