RENNY BEAU RUSSELL DC
NPI 1003905456
Chiropractor in Pleasant Valley, MO

Active since October 12, 2006Accepts Medicare Assignment
6624 ROYAL ST, PLEASANT VALLEY, MO 64068(816) 824-9690 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2024, Apr 9, 2024 (2 updates tracked since 2024).

About Renny Beau Russell Dc NPPES

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

RENNY BEAU RUSSELL DC (NPI 1003905456) is an individual chiropractor in Pleasant Valley, Missouri, licensed in Missouri (2008015663) and active in the NPI registry since October 2006. He is a graduate of Cleveland Chiropractic College - Kansas City (2004).

NPPES Registry Identity

NPI1003905456
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameRENNY BEAU RUSSELLCredential: DC
Location Address6624 ROYAL STPleasant Valley, MO 64068-8711
Mailing Address8009 Ne 105th TerKansas City, MO 64157-9100 · (816) 824-9690
Sole ProprietorNo
Medical School CMSCleveland Chiropractic College - Kansas CityGraduated 2004
Enumeration DateOctober 12, 2006
Last NPPES UpdateApril 16, 20242 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
NPI 1003905456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses Licensed in MO · 2008015663 Licensed in OK · 3841
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
6624 ROYAL ST, Pleasant Valley, MO 64068

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Renny Beau Russell Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456409085
PECOS Enrollment IDI20090508000028

Other Providers at the Same Location NPPES

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

Chiropractor
6624 ROYAL ST
PLEASANT VALLEY, MO 64068

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 Renny Russell's NPI number?

The NPI number for Renny Russell is 1003905456. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Renny Russell located?

Renny Russell practices at 6624 Royal St, Pleasant Valley, MO 64068. The listed phone number is (816) 824-9690.

What is Renny Russell's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Renny Russell enrolled in Medicare?

Yes. Renny Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Renny Russell accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City list Renny Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renny Russell was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.