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JOHANNA MERCEDEZ RUSSELL APRN
NPI 1205308640
Nurse Practitioner - Family in Jacksonville, FL

Active since December 26, 2018PECOS Enrolled
83.26/100
CMS Quality Rating
425 N LEE ST STE 104, JACKSONVILLE, FL 32204(904) 427-1250 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 2, 2023, Nov 9, 2021, May 15, 2019 and 2 more (5 updates tracked since 2018).

About Johanna Mercedez Russell Aprn NPPES

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

JOHANNA MERCEDEZ RUSSELL APRN (NPI 1205308640) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11001221) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in St Augustine.

NPPES Registry Identity

NPI1205308640
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOHANNA MERCEDEZ RUSSELLCredential: APRN
Location Address425 N LEE ST STE 104Jacksonville, FL 32204-1128
Mailing Address425 N Lee St Ste 104Jacksonville, FL 32204-1128 · (904) 427-1250
Phone(904) 427-1250
Sole ProprietorYes
Enumeration DateDecember 26, 2018
Last NPPES UpdateOctober 2, 20235 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
✔ NPI 1205308640 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
License✔ Licensed in FL · APRN11001221
425 N LEE ST STE 104, Jacksonville, FL 32204
Open in Google Maps ↗

Other Names 1

Professional Name (2)Johanna Russell Aprn-bc

Secondary Practice Location 1

Location 1121 Whitehall DrSt Augustine, FL 32086-5266 · Phone (904) 825-4500 · Fax (904) 825-3672

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida, UnitedHealthcare.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)

Johanna Mercedez Russell Aprn 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 32204 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.96
Promoting Interoperability100
Improvement Activities40
Cost63.59

Other Providers at the Same Location NPPES 2

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

DR. JASON DESMOND HEW M.D.
Internal Medicine (Medical Oncology)
425 N LEE ST STE 104
JACKSONVILLE, FL 32204
Duval County (904) 427-1250
GENESISCARE USA OF FLORIDA LLC
Internal Medicine (Hematology & Oncology)
425 N LEE ST STE 104
JACKSONVILLE, FL 32204
Duval County (904) 805-7050

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 Johanna Russell's NPI number?

The NPI number for Johanna Russell is 1205308640. It was assigned to this individual provider in the NPPES registry on December 26, 2018. The provider is also known as Johanna Russell Aprn-Bc.

Where is Johanna Russell located?

Johanna Russell practices at 425 N Lee St Ste 104, Jacksonville, FL 32204. The listed phone number is (904) 427-1250.

What is Johanna Russell's specialty?

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

Is Johanna Russell enrolled in Medicare?

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

What insurance does Johanna Russell accept?

Health plans from AvMed, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Johanna Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Johanna Russell was last updated on October 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.