HOLLY L RUSSELL NP
NPI 1104338623
Nurse Practitioner in Bedford, IN

Active since October 25, 2017PECOS EnrolledAccepts Medicare Assignment
2900 16TH ST, BEDFORD, IN 47421(812) 275-1200 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2019, Oct 25, 2017 (2 updates tracked since 2017).

About Holly L Russell Np NPPES

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

HOLLY L RUSSELL NP (NPI 1104338623) is an individual nurse practitioner in Bedford, Indiana, licensed in Indiana (71007594A) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104338623
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHOLLY L RUSSELLCredential: NP
Location Address2900 16TH STBedford, IN 47421-3510
Mailing Address550 S Landmark AveBloomington, IN 47403-3239
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 25, 2017
Last NPPES UpdateAugust 13, 20192 updates tracked since enumeration
NPI 1104338623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · 71007594A
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.
2900 16TH ST, Bedford, IN 47421

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Holly L Russell Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062778376
PECOS Enrollment IDI20171101003648
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health Bedford Hospital

Critical Access Hospitals · Bedford, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151328
Location2900 W 16th StBedford, IN 47421 · Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47421 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers27 claims28 services$20.77 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers27 claims28 services$77.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Anesthetist, Certified Registered
2900 16TH ST
BEDFORD, IN 47421
Nurse Practitioner (Family)
2900 16TH ST
BEDFORD, IN 47421
Pathology (Anatomic Pathology & Clinical Pathology)
2900 16TH ST
BEDFORD, IN 47421
Nurse Practitioner (Family)
2900 16TH ST
BEDFORD, IN 47421
Nurse Anesthetist, Certified Registered
2900 16TH ST
BEDFORD, IN 47421
Internal Medicine
2900 16TH ST
BEDFORD, IN 47421
Physician Assistant
2900 16TH ST
BEDFORD, IN 47421
Nurse Practitioner (Adult Health)
2900 16TH ST
BEDFORD, IN 47421

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 Holly Russell's NPI number?

The NPI number for Holly Russell is 1104338623. It was assigned to this individual provider in the NPPES registry on October 25, 2017.

Where is Holly Russell located?

Holly Russell practices at 2900 16th St, Bedford, IN 47421. The listed phone number is (812) 275-1200.

What is Holly Russell's specialty?

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

Is Holly Russell enrolled in Medicare?

Yes. Holly Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Holly Russell accept?

Health plans from CareSource and UnitedHealthcare list Holly 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.

Is Holly Russell affiliated with any hospitals?

According to CMS data, Holly Russell is affiliated with Indiana University Health Bloomington Hospital and Indiana University Health Bedford Hospital.

When was this NPI record last updated?

The NPPES record for Holly Russell was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.