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

Nicole Lee Ruske, MD

Individual provider Family Medicine Physician · NPI 1750721148

Nicole Lee Ruske, MD is a Family Practice in Shawano, Wisconsin. Graduated from Albert Einstein College of Medicine of Yeshiva University in 2013, 13 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho, Utah and Wisconsin.

Years since qualifying
13
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
ID, UT, WI
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 County Road B
Shawano, WI 54166-7072
Phone: (715) 524-2161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1365 W 1000 N, Salt Lake City, UT 84116-1654 — (801) 328-5750

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 76625 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence MRM-1328 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence 9701083-1205 (UT)

Record details

NPI number1750721148
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2013
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 2013 (13 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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