MR. RUSSELL PRESTON JR. NP
NPI 1093487209
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since October 05, 2021PECOS Enrolled
303 5TH AVE RM 1112, NEW YORK, NY 10016(917) 475-6251(855) 213-5185 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2025, Aug 2, 2022, Oct 5, 2021 (3 updates tracked since 2021).

About Mr. Russell Preston Jr. Np NPPES

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

MR. RUSSELL PRESTON JR. NP (NPI 1093487209) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (404145) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093487209
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. RUSSELL PRESTON JR.Credential: NP
Location Address303 5TH AVE RM 1112New York, NY 10016-6659
Mailing Address303 5th Ave Rm 1116New York, NY 10016-6601 · (908) 379-8633 · Fax (914) 462-4056
Fax(855) 213-5185
Sole ProprietorNo
Enumeration DateOctober 5, 2021
Last NPPES UpdateJune 25, 20253 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
NPI 1093487209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 404145
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 759684 (NY)
303 5TH AVE RM 1112, New York, NY 10016

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Russell Preston Jr. Np 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 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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 Preston's NPI number?

The NPI number for Russell Preston is 1093487209. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Where is Russell Preston located?

Russell Preston practices at 303 5th Ave Rm 1112, New York, NY 10016. The listed phone number is (917) 475-6251.

What is Russell Preston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Russell Preston enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Russell Preston was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.