Debra Rustad, RN, CNP
Debra Rustad, RN, CNP is a Gerontology Nurse Practitioner in St Louis Park, MN, registered under NPI 1487659587. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 3850 PARK NICOLLET BLVD PARK NICOLLET CLINIC--SENIOR SERVICES-- 3RD FLOOR, St Louis Park, MN 55416. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| R092748-4 | MN | Gerontology Nurse Practitioner primary |
This provider holds licence R092748-4 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Gerontology covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LG0600X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1487659587 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 15, 2005 |
| Last updated | Mar 18, 2021 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | RN, CNP |
| Practice address |
3850 PARK NICOLLET BLVD PARK NICOLLET CLINIC--SENIOR SERVICES-- 3RD FLOOR St Louis Park, MN 55416 (952) 993-5041 Fax (952) 993-3236 |
| Mailing address |
8170 33RD AVE S # MS 21110Q Bloomington, MN 55425 |
| Other identifiers |
090529100
· Medicaid (MN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 8 | 7 | 6 | 5 | 9 | 5 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 7 | 7 | 3 | 5 | 9 | 5 | 7 |
Sum = 73 · next multiple of 10 = 80 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.