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SHELLY RUSSO APRN
NPI 1104549187
Nurse Practitioner - Gerontology in Venice, FL

Active since September 23, 2022PECOS EnrolledAccepts Medicare Assignment
78.11/100
CMS Quality Rating
1215 JACARANDA BLVD, VENICE, FL 34292(941) 451-8282(877) 652-3059 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shelly Russo Aprn NPPES

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

SHELLY RUSSO APRN (NPI 1104549187) is an individual gerontology provider in Venice, Florida, licensed in Florida (11021994) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Shorepoint Health Port Charlotte, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104549187
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSHELLY RUSSOCredential: APRN
Location Address1215 JACARANDA BLVDVenice, FL 34292-4520
Mailing Address1215 Jacaranda BlvdVenice, FL 34292-4520 · (941) 451-8282 · Fax (877) 652-3059
Phone(941) 451-8282
Fax(877) 652-3059
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 23, 2022
NPPES CertifiedSeptember 23, 2022
✔ NPI 1104549187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · 11021994
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 11021994 (FL)
1215 JACARANDA BLVD, Venice, FL 34292
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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

Shelly Russo Aprn 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 ID7719354760
PECOS Enrollment IDI20221103000478
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.

Shorepoint Health Port Charlotte

Acute Care Hospitals · Port Charlotte, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100077
Location2500 Harbor BlvdPort Charlotte, FL 33952 · Charlotte County
Emergency services Birthing friendly

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34292 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.83
Promoting Interoperability98
Improvement Activities40
Cost44.89

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KI M HASSLER D.O.
Internal Medicine (Cardiovascular Disease)
1215 JACARANDA BLVD
VENICE, FL 34292
Sarasota County (941) 451-8282
KI HASSLER, DO, LLC
Internal Medicine (Cardiovascular Disease)
1215 JACARANDA BLVD
VENICE, FL 34292
Sarasota County (941) 451-8282
PETER R DUMAS MD PA
Specialist
1215 JACARANDA BLVD
VENICE, FL 34292
Sarasota County (941) 493-4603

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 Shelly Russo's NPI number?

The NPI number for Shelly Russo is 1104549187. It was assigned to this individual provider in the NPPES registry on September 23, 2022.

Where is Shelly Russo located?

Shelly Russo practices at 1215 Jacaranda Blvd, Venice, FL 34292. The listed phone number is (941) 451-8282.

What is Shelly Russo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Shelly Russo enrolled in Medicare?

Yes. Shelly Russo 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.

Is Shelly Russo affiliated with any hospitals?

According to CMS data, Shelly Russo is affiliated with Shorepoint Health Port Charlotte and Sarasota Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shelly Russo was last updated on September 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.