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ASA NATHANAEL RUSSELL
NPI 1104247147
Counselor - Mental Health in Omaha, NE

Active since December 18, 2013PECOS Enrolled

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2024, Nov 18, 2022 (2 updates tracked since 2022).

About Asa Nathanael Russell NPPES

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

ASA NATHANAEL RUSSELL (NPI 1104247147) is an individual mental health provider in Omaha, Nebraska, licensed in Nebraska (13264) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104247147
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameASA NATHANAEL RUSSELL
Location Address4031 BURT STOmaha, NE 68131-1837
Mailing Address4031 Burt StOmaha, NE 68131-1837 · (402) 800-5702
Phone(402) 800-5702
Sole ProprietorYes
Enumeration DateDecember 18, 2013
Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1104247147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NE · 13264✔ Licensed in ME · XL3998
4031 BURT ST, Omaha, NE 68131
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Asa Nathanael Russell 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.

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 Asa Russell's NPI number?

The NPI number for Asa Russell is 1104247147. It was assigned to this individual provider in the NPPES registry on December 18, 2013.

Where is Asa Russell located?

Asa Russell practices at 4031 Burt St, Omaha, NE 68131. The listed phone number is (402) 800-5702.

What is Asa Russell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Asa Russell enrolled in Medicare?

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

What insurance does Asa Russell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica and 2 other insurers list Asa 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 Asa Russell was last updated on July 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.