NATALIE RUSSELL M.D.
NPI 1104672740
Student in an Organized Health Care Education/Training Program in Rockford, IL

Active since April 25, 2024PECOS Enrolled
1221 E. STATE STREET, ROCKFORD, IL 61104(815) 972-1000(815) 972-1086 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 15, 2024, May 17, 2024, Apr 25, 2024 (3 updates tracked since 2024).

  • Individual
  • Female
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About NATALIE RUSSELL

This page provides the complete NPI Profile along with additional information for Natalie Russell, a primary care provider established in Rockford, Illinois with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1104672740 assigned on April 2024. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1104672740 Verify this NPI
Provider Name
NATALIE RUSSELL M.D.
Gender
Female
Entity Type
Individual
Location Address
1221 E. STATE STREET ROCKFORD, IL 61104
Location Phone
(815) 972-1000
Location Fax
(815) 972-1086
Mailing Address
1221 E. STATE STREET ROCKFORD, IL 61104
Mailing Phone
(815) 972-1000
Is Sole Proprietor?
No
Enumeration Date
04-25-2024
Last Update Date
07-15-2024
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A primary care provider (PCP) like Natalie Russell sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Natalie Russell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Student in an Organized Health Care Education/Training Program
1221 E. STATE STREET
ROCKFORD, IL 61104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104672740, enumerated as an "individual" on April 25, 2024.

The provider is located at 1221 E. STATE STREET ROCKFORD, IL 61104 and the phone number is (815) 972-1000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.