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ANNA MARIE RUSSELL FNP
NPI 1003578642
Nurse Practitioner - Family in Weaverville, CA

Active since October 12, 2021PECOS Enrolled
31 EASTER AVE, WEAVERVILLE, CA 96093(530) 623-4186(530) 623-4397 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2026, Oct 12, 2021 (2 updates tracked since 2021).

About Anna Marie Russell Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNA MARIE RUSSELL FNP (NPI 1003578642) is an individual family provider in Weaverville, California, licensed in California (95026495) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Nampa, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1003578642
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANNA MARIE RUSSELLCredential: FNP
Location Address31 EASTER AVEWeaverville, CA 96093-8054
Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 302-9342 · Fax (208) 367-5180
Phone(530) 623-4186
Fax(530) 623-4397
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 12, 2021
Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1003578642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95026495
Also ListedNurse PractitionerTaxonomy 363L00000X · License 8471097 (ID)
31 EASTER AVE, Weaverville, CA 96093
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Other Names 1

Former Name (1)Anna Marie Russell

Secondary Practice Location 1

Location 14300 E Flamingo AveNampa, ID 83687-3138 · Phone (208) 463-5000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Marie Russell Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416334230
PECOS Enrollment IDI20260727002526
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Anna Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Alphonsus Regional Medical Center Inc
380 mi
Family Medicine
712 AVIATION WAY
Caldwell, ID 83605
  • Reassigned Medicare billing, Idaho enrollment
  • 781 clinicians in this Medicare group
NPI 1861676298 (208) 302-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN WILLIAMS DO
Internal Medicine (Pulmonary Disease)
31 EASTER AVE
WEAVERVILLE, CA 96093
Trinity County (530) 623-4186
MARY BARACCO CNM NP
Advanced Practice Midwife
31 EASTER AVE
WEAVERVILLE, CA 96093
Trinity County (530) 623-4186
RANDALL J MEREDITH M.D.
Family Medicine
31 EASTER AVE
WEAVERVILLE, CA 96093
Trinity County (530) 623-4186

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anna Russell's NPI number?

The NPI number for Anna Russell is 1003578642. It was assigned to this individual provider in the NPPES registry on October 12, 2021. The provider is also known as Anna Marie Russell.

Where is Anna Russell located?

Anna Russell practices at 31 Easter Ave, Weaverville, CA 96093. The listed phone number is (530) 623-4186.

What is Anna Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Anna Russell enrolled in Medicare?

Yes. Anna Russell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anna Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Russell reassigns Medicare benefits to Saint Alphonsus Regional Medical Center Inc (Caldwell, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anna Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anna Russell was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.