MRS. GEORGIA RUSSELL APRN
NPI 1073785408
Nurse Practitioner - Family in Moab, UT
About Mrs. Georgia Russell Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. GEORGIA RUSSELL APRN (NPI 1073785408) is an individual family provider in Moab, Utah, licensed in Utah (209410-4405) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Moab.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Georgia Russell Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Georgia Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Moab, UT 84532
- Reassigned Medicare billing, Utah enrollment
- 84 clinicians in this Medicare group
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 84532 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MOAB, UT 84532
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 Georgia Russell's NPI number?
The NPI number for Georgia Russell is 1073785408. It was assigned to this individual provider in the NPPES registry on March 26, 2008.
Where is Georgia Russell located?
Georgia Russell practices at 450 Williams Way, Moab, UT 84532. The listed phone number is (435) 719-3510.
What is Georgia Russell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Georgia Russell enrolled in Medicare?
Yes. Georgia Russell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Georgia Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Georgia Russell reassigns Medicare benefits to Moab Valley Healthcare, Inc (Moab, UT). 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 Georgia 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 Georgia Russell was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mrs. Georgia Russell, APRN · NPI 1073785408
Family physician in Moab, Utah. Individual provider, active in the CMS NPPES registry since March 26, 2008.
## Identity
- **NPI:** 1073785408 (Entity type: Individual)
- **Enumerated:** March 26, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209410-4405 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 450 WILLIAMS WAY, Moab, UT 84532
- **Phone:** (435) 719-3510 · **Fax:** (435) 719-3509
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Moab Valley Healthcare, Inc (NPI 1770513236, Moab, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1073785408) · Data from the CMS NPPES public registry.