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JENNIFER MARIE RUSSELL
NPI 1114721271
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since April 01, 2025PECOS Enrolled
1215 LEE ST MAILBOX 800499, CHARLOTTESVILLE, VA 22908(434) 924-5348(434) 924-8335 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Marie Russell NPPES

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

JENNIFER MARIE RUSSELL (NPI 1114721271) is an individual student in an organized health care education/training program in Charlottesville, Virginia and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114721271
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER MARIE RUSSELL
Location Address1215 LEE ST MAILBOX 800499Charlottesville, VA 22908-0816
Mailing Address1215 Lee St Mailbox 800499Charlottesville, VA 22908-0816 · (434) 924-5348 · Fax (434) 924-8335
Phone(434) 924-5348
Fax(434) 924-8335
Sole ProprietorNo
Enumeration DateApril 1, 2025
NPPES CertifiedApril 1, 2025
✔ NPI 1114721271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

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.

1215 LEE ST MAILBOX 800499, Charlottesville, VA 22908
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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 (PECOS)

Jennifer Marie Russell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 1114721271. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Jennifer Russell located?

Jennifer Russell practices at 1215 Lee St Mailbox 800499, Charlottesville, VA 22908. The listed phone number is (434) 924-5348.

What is Jennifer Russell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jennifer Russell enrolled in Medicare?

Yes. Jennifer Russell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Russell was last updated on April 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.