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

Stanley Ruder, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1477099935

Stanley Ruder, PMHNP is a Nurse Practitioner in Niles, Michigan. Qualified in 2016, 10 years ago. Practices with Lakeland Immediate Care Center, a 24-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2017
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

1951 Oak St
Niles, MI 49120-3738
Phone: (269) 262-4749
Fax: (269) 262-4739
Show map & directions

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

Additional practice locations (1)

  • 261 M 62, Cassopolis, MI 49031-1034 — (269) 445-3874

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704372138 (MI)

Record details

NPI number1477099935
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJanuary 9, 2017
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Lakeland Immediate Care Center — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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