AMANDA RUSSELL
NPI 1114312295
Family Medicine in Dinwiddie, VA

Q: What is Amanda Russell's NPI number?

The NPI number for Amanda Russell is 1114312295. It was assigned to this individual provider in the NPPES registry on April 5, 2015.

Q: What is Amanda Russell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Russell was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 05, 2015PECOS EnrolledAccepts Medicare Assignment

13855 COURTHOUSE RD, DINWIDDIE, VA 23841(804) 469-3731 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 15, 2024, Jul 12, 2018, Jun 27, 2018 (3 updates tracked since 2018).

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About Amanda Russell NPPES

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

AMANDA RUSSELL (NPI 1114312295) is an individual family medicine provider in Dinwiddie, Virginia, licensed in Virginia (0101264538) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Bon Secours Southside Medical Center, and is a graduate of Eastern Virginia Medical School (2015).

NPPES Registry Identity

NPI1114312295

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameAMANDA RUSSELL

Location Address13855 COURTHOUSE RDDinwiddie, VA 23841-2254

Mailing Address13855 Courthouse RdDinwiddie, VA 23841-2254

Phone(804) 469-3731

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 2015

Enumeration DateApril 5, 2015

Last NPPES UpdateJuly 15, 20243 updates tracked since enumeration

NPPES CertifiedJuly 15, 2024

✔ NPI 1114312295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101264538

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

13855 COURTHOUSE RD, Dinwiddie, VA 23841

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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

Amanda Russell 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 ID6709193469

PECOS Enrollment IDI20180919002068

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

68 services26 patients

Hospital Affiliations CMS Care Compare

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

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number490067

Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23841 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Other Providers at the Same Location NPPES 5

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

HEATHER M. GIGON NP

Nurse Practitioner (Family)