JACQUELYN RUSSELL AGACNP
NPI 1124603097
Nurse Practitioner - Acute Care in San Francisco, CA
About Jacquelyn Russell Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYN RUSSELL AGACNP (NPI 1124603097) is an individual acute care provider in San Francisco, California, licensed in California (NP95015822) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Jacquelyn Russell Agacnp 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.
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 94158 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jacquelyn Russell's NPI number?
The NPI number for Jacquelyn Russell is 1124603097. It was assigned to this individual provider in the NPPES registry on March 12, 2021.
Where is Jacquelyn Russell located?
Jacquelyn Russell practices at 1855 4th St, San Francisco, San Francisco, CA 94158. The listed phone number is (978) 808-6646.
What is Jacquelyn Russell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jacquelyn Russell enrolled in Medicare?
Yes. Jacquelyn 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.
When was this NPI record last updated?
The NPPES record for Jacquelyn Russell was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jacquelyn Russell, AGACNP · NPI 1124603097
Acute Care physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since March 12, 2021.
## Identity
- **NPI:** 1124603097 (Entity type: Individual)
- **Enumerated:** March 12, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** NP95015822 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1855 4TH ST, SAN FRANCISCO, San Francisco, CA 94158
- **Phone:** (978) 808-6646
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 12, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1124603097) · Data from the CMS NPPES public registry.