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

Thomas Rudisill

Individual provider Family Nurse Practitioner · NPI 1174283584

Thomas Rudisill is a Nurse Practitioner in Salem, Oregon. Qualified in 2019, 7 years ago. Practices with Salem Health, a 479-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2021
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Practice location Address checks out

5050 Skyline Village Loop S
Salem, OR 97306-9490
Phone: (503) 391-1110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 202114701NP-PP (OR)

Record details

NPI number1174283584
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 27, 2021
Last updated in NPPESDecember 27, 2021
Certification dateDecember 27, 2021
Mailing address5050 Skyline Village Loop S, Salem, OR 97306-9490

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Salem Health — 479 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Salem