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MICHELLE LYNN RUSSELL DO
NPI 1184310559
Student in an Organized Health Care Education/Training Program in Charleston, WV

Active since April 18, 2023PECOS Enrolled
800 PENNSYLVANIA AVENUE, CHILDREN'S MEDICINE CENTER, CHARLESTON, WV 25302(304) 414-1880(304) 414-1886 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michelle Lynn Russell Do NPPES

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

MICHELLE LYNN RUSSELL DO (NPI 1184310559) is an individual student in an organized health care education/training program in Charleston, West Virginia and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184310559
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMICHELLE LYNN RUSSELLCredential: DO
Location Address800 PENNSYLVANIA AVENUE, CHILDREN'S MEDICINE CENTERCharleston, WV 25302
Mailing Address112 Beechwood BlvdPulaski, PA 16143-9302 · (724) 714-7625
Phone(304) 414-1880
Fax(304) 414-1886
Sole ProprietorNo
Enumeration DateApril 18, 2023
NPPES CertifiedApril 11, 2023
✔ NPI 1184310559 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.
800 PENNSYLVANIA AVENUE, Charleston, WV 25302
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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)

Michelle Lynn Russell Do 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.

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.

MRS. MARY LOUISE SCHIANO CRNA MSM
Nurse Anesthetist, Certified Registered
800 PENNSYLVANIA AVENUE, CAMC
CHARLESTON, WV 25302
Kanawha County (304) 388-2470
ANKITA ADHIKARI M.D.
Student in an Organized Health Care Education/Training Program
800 PENNSYLVANIA AVENUE
CHARLESTON, WV 25302
Kanawha County (304) 414-1880
HIBA SHAUKAT M.D.
Student in an Organized Health Care Education/Training Program
800 PENNSYLVANIA AVENUE
CHARLESTON, WV 25302
Kanawha County (304) 414-1880
MS. NANCY LAUNE BRALLIER MSW
Social Worker (Clinical)
800 PENNSYLVANIA AVENUE, FAMILY RESOURCE CENTER
CHARLESTON, WV 25302
Kanawha County (304) 388-2545
DUA IRSHAD SYED M.D.
Student in an Organized Health Care Education/Training Program
800 PENNSYLVANIA AVENUE
CHARLESTON, WV 25302
Kanawha County (304) 414-1880
EVGENII KRAVCHENKO M.D.
Student in an Organized Health Care Education/Training Program
800 PENNSYLVANIA AVENUE
CHARLESTON, WV 25302
Kanawha County (304) 414-1880

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 Michelle Russell's NPI number?

The NPI number for Michelle Russell is 1184310559. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Michelle Russell located?

Michelle Russell practices at 800 Pennsylvania Avenue Children's Medicine Center, Charleston, WV 25302. The listed phone number is (304) 414-1880.

What is Michelle 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 Michelle Russell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michelle Russell was last updated on April 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.