KEEGAN ASHLEY RUSSELL FNP-C
NPI 1073034914
Nurse Practitioner - Family in Scottsdale, AZ

Q: What is Keegan Russell's NPI number?

The NPI number for Keegan Russell is 1073034914. It was assigned to this individual provider in the NPPES registry on June 30, 2017. The provider is also known as Keegan Ashley Smith.

Q: What is Keegan Russell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keegan Russell was last updated on November 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 30, 2017PECOS EnrolledAccepts Medicare Assignment

8880 E DESERT COVE AVE, SCOTTSDALE, AZ 85260(480) 314-6670(480) 314-6699 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 14, 2022, Jul 21, 2022, Mar 17, 2018 and 3 more (6 updates tracked since 2017).

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About Keegan Ashley Russell Fnp-c NPPES

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

KEEGAN ASHLEY RUSSELL FNP-C (NPI 1073034914) is an individual family provider in Scottsdale, Arizona, licensed in Arizona (AP10173) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073034914

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKEEGAN ASHLEY RUSSELLCredential: FNP-C

Location Address8880 E DESERT COVE AVEScottsdale, AZ 85260-6746

Mailing AddressPo Box 6423Chandler, AZ 85246-6423 · (480) 314-6670 · Fax (480) 257-1997

Phone(480) 314-6670

Fax(480) 314-6699

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 30, 2017

Last NPPES UpdateNovember 14, 20226 updates tracked since enumeration

NPPES CertifiedNovember 14, 2022

✔ NPI 1073034914 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 AZ · AP10173

8880 E DESERT COVE AVE, Scottsdale, AZ 85260

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Other Names 1

Former Name (1)Keegan Ashley Smith

Other Identifiers 1

Medicaid293629AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc..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

Keegan Ashley Russell Fnp-c 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 ID7012288731

PECOS Enrollment IDI20170728002872

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

56 services54 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85260 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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Other Providers at the Same Location NPPES 20

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

IRONWOOD PHYSICIANS, PC

Internal Medicine (Hematology & Oncology)