JENNIFER RUSSELL PH.D.
NPI 1114347846
Psychologist - Clinical in Shreveport, LA
About Jennifer Russell Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER RUSSELL PH.D. (NPI 1114347846) is an individual clinical provider in Shreveport, Louisiana, licensed in Louisiana (1399) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jennifer Russell Ph.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jennifer Russell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shreveport, LA 71105
- Reassigned Medicare billing, Louisiana enrollment
- Medicare enrollment name: Psychology Associates Of Nw Louisiana LLC
- 7 clinicians in this Medicare group
Shreveport, LA 71105
- Reassigned Medicare billing, Louisiana enrollment
- 3 clinicians in this Medicare group
Shreveport, LA 71104
- Reassigned Medicare billing, Louisiana enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHREVEPORT, LA 71105
SHREVEPORT, LA 71105
SHREVEPORT, LA 71105
SHREVEPORT, LA 71105
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 Jennifer Russell's NPI number?
The NPI number for Jennifer Russell is 1114347846. It was assigned to this individual provider in the NPPES registry on April 21, 2014.
Where is Jennifer Russell located?
Jennifer Russell practices at 3341 Youree Dr Ste 20A, Shreveport, LA 71105. The listed phone number is (318) 425-2000.
What is Jennifer Russell's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Jennifer Russell enrolled in Medicare?
Yes. Jennifer 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.
Which organizations bill Medicare for Jennifer Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Russell reassigns Medicare benefits to 3 organizations: Psychology Associates Of N.W. Louisiana, L.L.C. (Shreveport, LA), Ronald A Goebel & Mark P Vigen Ptr (Shreveport, LA) and Jennifer L Russell, Psychologist, LLC (Shreveport, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Russell accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Jennifer 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 Jennifer Russell was last updated on January 8, 2020. 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.
# Jennifer Russell, PH.D. · NPI 1114347846
Clinical provider in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since April 21, 2014.
## Identity
- **NPI:** 1114347846 (Entity type: Individual)
- **Enumerated:** April 21, 2014
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 1399 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3341 YOUREE DR STE 20A, Shreveport, LA 71105-2149
- **Phone:** (318) 425-2000 · **Fax:** (318) 424-2601
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Psychology Associates Of N.W. Louisiana, L.L.C. (NPI 1831739820, Shreveport, LA); Ronald A Goebel & Mark P Vigen Ptr (NPI 1477732188, Shreveport, LA); Jennifer L Russell, Psychologist, LLC (NPI 1316577141, Shreveport, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** January 8, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1114347846) · Data from the CMS NPPES public registry.