TAMMY WATSON RUSSELL - NPI 1194311522 - Nurse Practitioner in Marysville, OH

Q: What is Tammy Russell's NPI number?

The NPI number for Tammy Russell is 1194311522. It was assigned to this individual provider in the NPPES registry on December 20, 2020.

Q: What is Tammy Russell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tammy Russell was last updated on June 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Tammy Watson Russell NPPES

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

TAMMY WATSON RUSSELL (NPI 1194311522) is an individual family provider in Marysville, Ohio, licensed in Ohio (0038992) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194311522

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTAMMY WATSON RUSSELL

Location Address969 W 5TH STMarysville, OH 43040-1070

Mailing Address654 Corbel DrMarysville, OH 43040-7096 · (614) 749-2189

Phone(937) 644-3615

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 20, 2020

Last NPPES UpdateJune 27, 20252 updates tracked since enumeration

NPPES CertifiedJune 27, 2025

✔ NPI 1194311522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · 0038992

Also ListedRegistered NurseTaxonomy 163W00000X · License 474767 (OH)

969 W 5TH ST, Marysville, OH 43040

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4587107164

PECOS Enrollment IDI20250625002951

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 43040 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 8

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

BRANDON CHRISTEN

Pharmacist