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MS. TERESA MARIE RUSSELL MS, FNP
NPI 1124312053
Nurse Practitioner - Family in New York, NY

Active since June 08, 2011PECOS Enrolled
530 1ST AVE STE 8R, NEW YORK, NY 10016(212) 263-5035(646) 501-0493 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2025, Jun 15, 2016 (2 updates tracked since 2016).

About Ms. Teresa Marie Russell Ms, Fnp NPPES

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

MS. TERESA MARIE RUSSELL MS, FNP (NPI 1124312053) is an individual family provider in New York, New York, licensed in New York (F336636-1) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124312053
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. TERESA MARIE RUSSELLCredential: MS, FNP
Location Address530 1ST AVE STE 8RNew York, NY 10016-6402
Mailing Address530 1st Ave Ste 8rNew York, NY 10016-6402 · (212) 263-5035 · Fax (646) 501-0493
Phone(212) 263-5035
Fax(646) 501-0493
Sole ProprietorNo
Enumeration DateJune 8, 2011
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1124312053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · F336636-1✔ Licensed in NY · 336636✔ Licensed in NJ · 26NJ00333100
530 1ST AVE STE 8R, New York, NY 10016
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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)

Ms. Teresa Marie Russell Ms, Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 3

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

DR. ARIEL AGUR MD
Neurological Surgery
530 1ST AVE STE 8R
NEW YORK, NY 10016
New York County (646) 501-0397
MISS TRACY HOURICAN PA
Physician Assistant
530 1ST AVE STE 8R
NEW YORK, NY 10016
New York County (212) 263-2441
DR. ANTHONY FREMPONG-BOADU M.D.
Neurological Surgery
530 1ST AVE STE 8R
NEW YORK, NY 10016
New York County (212) 263-6514

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 Teresa Russell's NPI number?

The NPI number for Teresa Russell is 1124312053. It was assigned to this individual provider in the NPPES registry on June 8, 2011.

Where is Teresa Russell located?

Teresa Russell practices at 530 1st Ave Ste 8R, New York, NY 10016. The listed phone number is (212) 263-5035.

What is Teresa Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Teresa Russell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Teresa Russell was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.