JOHN RUSSELL
NPI 1104237130
Nurse Practitioner in Rockford, IL

Q: What is John Russell's NPI number?

The NPI number for John Russell is 1104237130. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Q: What is John Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for John Russell was last updated on November 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 13, 2014

1340 CHARLES ST, SUITE 300, ROCKFORD, IL 61104(779) 696-8800 Get Directions Write a Review

NPPES record last updated: November 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 26, 2021, Mar 26, 2021, Feb 19, 2021 and 1 more (4 updates tracked since 2018).

On this page

About John Russell NPPES

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

JOHN RUSSELL (NPI 1104237130) is an individual nurse practitioner in Rockford, Illinois, licensed in Illinois (277-000310) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1104237130

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJOHN RUSSELL

Location Address1340 CHARLES ST, SUITE 300Rockford, IL 61104

Mailing AddressPo Box 78866Milwaukee, WI 53278-8866 · (779) 696-7150 · Fax (779) 696-7342

Phone(779) 696-8800

Sole ProprietorNo

Enumeration DateMay 13, 2014

Last NPPES UpdateNovember 26, 20214 updates tracked since enumeration

NPPES CertifiedNovember 26, 2021

✔ NPI 1104237130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in IL · 277-000310✔ Licensed in IL · 209-011657

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 041.368559 (IL)

1340 CHARLES ST, Rockford, IL 61104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan.Insurance ›

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.

MS. REBEKAH D MEYERS PT

Physical Therapist

1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104

Winnebago County (815) 399-1975

KELLY S. RASMUSSEN NP

Nurse Practitioner

1340 CHARLES ST
ROCKFORD, IL 61104

Winnebago County (779) 696-5888

MS. KATHLEEN EDNA WILLIAMS APRN

Nurse Practitioner

1340 CHARLES ST, STE 201
ROCKFORD, IL 61104

Winnebago County (779) 696-8799

DR. STEVEN MILOS M.D.

Orthopaedic Surgery (Sports Medicine)

1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104

Winnebago County (779) 696-1900

SIRIVANH PHOMVANSI GAMEZ P.T.

Physical Therapist

1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104

Winnebago County (815) 399-1975

THOMAS J DANAHER MD

Orthopaedic Surgery

1340 CHARLES ST, STE 100
ROCKFORD, IL 61104

Winnebago County (779) 696-1900

DREW W PEARSON APN

Nurse Practitioner

1340 CHARLES ST
ROCKFORD, IL 61104

Winnebago County (779) 696-8700

MARY FRANCES BOHNE DNP, APRN, FNP-C

Nurse Practitioner (Family)

1340 CHARLES ST
ROCKFORD, IL 61104

Winnebago County (779) 696-8700

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 John Russell's NPI number?

The NPI number for John Russell is 1104237130. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is John Russell located?

John Russell practices at 1340 Charles St Suite 300, Rockford, IL 61104. The listed phone number is (779) 696-8800.

What is John Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does John Russell accept?

Health plans from Aspirus Health Plan list John 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 John Russell was last updated on November 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.