JOHN RUSSELL
NPI 1104237130
Nurse Practitioner in Rockford, IL
NPI Status: Active since May 13, 2014
Contact Information
1340 CHARLES ST
SUITE 300
ROCKFORD, IL
ZIP 61104
Phone: (779) 696-8800
- Individual
- Male
- Nurse Practitioner
- Accepts Insurance
About JOHN RUSSELL
This page provides the complete NPI Profile along with additional information for John Russell, a provider established in Rockford, Illinois with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1104237130 assigned on May 2014. The practitioner's primary taxonomy code is 363L00000X with license number 277-000310 (IL). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1104237130
- Provider Name
- JOHN RUSSELL
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1340 CHARLES ST SUITE 300 ROCKFORD, IL 61104
- Location Phone
- (779) 696-8800
- Mailing Address
- PO BOX 78866 MILWAUKEE, WI 53278
- Mailing Phone
- (779) 696-7150
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-13-2014
- Last Update Date
- 11-26-2021
- Code Navigator
A nurse practitioner (NP) like John Russell is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 277-000310
- License State
- IL
- Taxonomy Description
- (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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | 041.368559 (IL) |
| 2 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 209-011657 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 10000 - HMO
- HMO Bronze 7500 - HMO
- HMO Catastrophic 10600 with 3 free PCP visits - HMO
- HMO Gold 2000 - HMO
- HMO Gold 2700 - HMO
- HMO HDHP Silver 5900 - HMO
- HMO Silver 6000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- POS Bronze 8500 - POS
- POS Silver 6000 - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104237130, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ROCKFORD, IL 61104
ROCKFORD, IL 61104
ROCKFORD, IL 61104
ROCKFORD, IL 61104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104237130, enumerated as an "individual" on May 13, 2014.
The provider is located at 1340 CHARLES ST SUITE 300 ROCKFORD, IL 61104 and the phone number is (779) 696-8800.
Nurse Practitioner with taxonomy code 363L00000X.
The provider might be accepting Accepts: Aspirus Health Plan. Please consult your insurance carrier or call the provider to verify.
