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

Stacy Lynn Rutherford, DNAP

Individual provider Registered Nurse · NPI 1548882103

Stacy Lynn Rutherford, DNAP is a Certified Registered Nurse Anesthetist (CRNA) in Tahlequah, Oklahoma. Practices with Cherokee Nation, a 448-clinician group and accepts Medicare assignment. Licensed in Kansas and Oklahoma.

Licensed in
KS, OK
In the registry since
2020
Specialties on file
3

Practice location Address checks out

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone: (918) 458-3100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 117919 (OK)
Registered Nurse Taxonomy 163W00000X · Licence 138975 (KS)
Registered Nurse Taxonomy 163W00000X · Licence 117919 (OK)

Record details

NPI number1548882103
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNAP
Sole proprietorNo
NPI enumeratedMay 17, 2020
Last updated in NPPESMarch 22, 2022
Certification dateMarch 22, 2022
Mailing address5527 Nieman Rd, Shawnee, KS 66203-2345

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Group practice Cherokee Nation — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tahlequah