MRS. KELLY RUSSELL CNM
NPI 1154957652
Advanced Practice Midwife in Providence, RI

Q: What is Kelly Russell's NPI number?

The NPI number for Kelly Russell is 1154957652. It was assigned to this individual provider in the NPPES registry on March 16, 2020.

Q: What is Kelly Russell's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Russell was last updated on July 19, 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 March 16, 2020PECOS EnrolledAccepts Medicare Assignment

18 IMPERIAL PL UNIT 2D, PROVIDENCE, RI 02903(401) 727-4800(401) 921-4800 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2024, May 4, 2021, Mar 16, 2020 (3 updates tracked since 2020).

On this page

About Mrs. Kelly Russell Cnm NPPES

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

MRS. KELLY RUSSELL CNM (NPI 1154957652) is an individual advanced practice midwife in Providence, Rhode Island and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with South County Hospital Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154957652

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameMRS. KELLY RUSSELLCredential: CNM

Location Address18 IMPERIAL PL UNIT 2DProvidence, RI 02903-4642

Mailing Address101 Dudley StProvidence, RI 02905-2401

Phone(401) 727-4800

Fax(401) 921-4800

Sole ProprietorYes

Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2019

Enumeration DateMarch 16, 2020

Last NPPES UpdateJuly 19, 20243 updates tracked since enumeration

NPPES CertifiedJuly 19, 2024

✔ NPI 1154957652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

18 IMPERIAL PL UNIT 2D, Providence, RI 02903

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Secondary Practice Locations 2

Location 1101 Dudley StProvidence, RI 02905-2401 · Phone (401) 274-1100

Location 2455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7010

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

Mrs. Kelly Russell Cnm 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 ID6901237247

PECOS Enrollment IDI20200520002550

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.

Hospital Affiliations CMS Care Compare

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

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410008

Location100 Kenyon AveWakefield, RI 02879 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

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 6

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

CATHARINE SCULLY CNM

Midwife