Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Marissa Nicole Ruebhausen, NP-C

Individual provider Family Nurse Practitioner · NPI 1962994483

Mrs. Marissa Nicole Ruebhausen, NP-C is a Nurse Practitioner in Kankakee, Illinois. Qualified in 2017, 9 years ago. Practices with Decatur Memorial Hospital, a 169-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2018
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

375 N Wall St Ste P520
Kankakee, IL 60901-3493
Phone: (815) 932-6632
Fax: (815) 932-5760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 Riverside Dr Ste 1600, Bourbonnais, IL 60914-5406 — (815) 802-7090

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209017604 (IL)

Record details

NPI number1962994483
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedMay 31, 2018
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Decatur Memorial Hospital — 169 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kankakee