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RUSSELL MARTIN ELMS
NPI 1053078295
Nurse Practitioner - Family in Madera, CA

Active since November 23, 2021PECOS Enrolled
441 E YOSEMITE AVE, MADERA, CA 93638(559) 664-4000 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2023, Jan 14, 2022, Nov 23, 2021 (3 updates tracked since 2021).

About Russell Martin Elms NPPES

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

RUSSELL MARTIN ELMS (NPI 1053078295) is an individual family provider in Madera, California, licensed in California (95019159) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1053078295
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRUSSELL MARTIN ELMS
Location Address441 E YOSEMITE AVEMadera, CA 93638-3604
Mailing Address730 N I St Ste 104Madera, CA 93637-3078
Phone(559) 664-4000
Sole ProprietorNo
Enumeration DateNovember 23, 2021
Last NPPES UpdateJune 7, 20233 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1053078295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95019159
441 E YOSEMITE AVE, Madera, CA 93638
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1726 N Medical Center Dr E Ste 205Clovis, CA 93611-6886 · Phone (559) 859-3536
Location 27235 N 1st StFresno, CA 93720-2930 · Phone (559) 326-2125
Location 34910 E Ashlan Ave Ste 116Fresno, CA 93726-3021 · Phone (559) 228-2990

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Russell Martin Elms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93638 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 4

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

CAMARENA HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
441 E YOSEMITE AVE
MADERA, CA 93638
Madera County (559) 664-4000
ANNE VANGARSSE M.D.
Pediatrics
441 E YOSEMITE AVE
MADERA, CA 93638
Madera County (559) 664-4000
MICHELLE RENEE PEREZ MD
Pediatrics
441 E YOSEMITE AVE
MADERA, CA 93638
Madera County (559) 664-4000
MICHELLE MARIE DOMMERMUTH NP
Nurse Practitioner (Pediatrics)
441 E YOSEMITE AVE
MADERA, CA 93638
Madera County (559) 664-4000

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 Russell Elms's NPI number?

The NPI number for Russell Elms is 1053078295. It was assigned to this individual provider in the NPPES registry on November 23, 2021.

Where is Russell Elms located?

Russell Elms practices at 441 E Yosemite Ave, Madera, CA 93638. The listed phone number is (559) 664-4000.

What is Russell Elms's specialty?

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

Is Russell Elms enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Russell Elms was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.