AMANDA NICOLE RUSSELL FNP
NPI 1215428578
Nurse Practitioner - Family in Madisonville, KY

Active since May 22, 2018PECOS EnrolledAccepts Medicare Assignment
70.91/100
CMS Quality Rating
419 N SEMINARY ST, MADISONVILLE, KY 42431(731) 394-1145 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Nicole Russell Fnp NPPES

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

AMANDA NICOLE RUSSELL FNP (NPI 1215428578) is an individual family provider in Madisonville, Kentucky, licensed in Kentucky (3012241) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Deaconess Madisonville, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1215428578
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA NICOLE RUSSELLCredential: FNP
Location Address419 N SEMINARY STMadisonville, KY 42431-1515
Mailing AddressPo Box 269084, Dept 1102Oklahoma City, OK 73126 · (731) 394-1145
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 22, 2018
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
NPI 1215428578 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 KY · 3012241
419 N SEMINARY ST, Madisonville, KY 42431

Accepted Insurance

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

Amanda Nicole Russell Fnp 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 ID1153674890
PECOS Enrollment IDI20181026002121
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.

Areas of Expertise CMS Part B claims 2

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
29 services28 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180093
Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

70.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.01
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier11 claims588 services$5.38 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier11 claims308 services$4.49 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
1 supplier11 claims308 services$3.27 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers16 claims433 services$7.65 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier11 claims11 services$74.64 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier13 claims13 services$12.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Physical Therapy Assistant
419 N SEMINARY ST
MADISONVILLE, KY 42431
Nurse Practitioner (Family)
419 N SEMINARY ST
MADISONVILLE, KY 42431
Physical Therapy Assistant
419 N SEMINARY ST
MADISONVILLE, KY 42431
Physical Therapy Assistant
419 N SEMINARY ST
MADISONVILLE, KY 42431
Occupational Therapy Assistant
419 N SEMINARY ST
MADISONVILLE, KY 42431
Speech-Language Pathologist
419 N SEMINARY ST
MADISONVILLE, KY 42431
Occupational Therapy Assistant
419 N SEMINARY ST
MADISONVILLE, KY 42431
Occupational Therapy Assistant
419 N SEMINARY ST
MADISONVILLE, KY 42431

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 Amanda Russell's NPI number?

The NPI number for Amanda Russell is 1215428578. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Amanda Russell located?

Amanda Russell practices at 419 N Seminary St, Madisonville, KY 42431. The listed phone number is (731) 394-1145.

What is Amanda Russell's specialty?

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

Is Amanda Russell enrolled in Medicare?

Yes. Amanda 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.

What insurance does Amanda Russell accept?

Health plans from CareSource list Amanda 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.

Is Amanda Russell affiliated with any hospitals?

According to CMS data, Amanda Russell is affiliated with Baptist Health Deaconess Madisonville.

When was this NPI record last updated?

The NPPES record for Amanda Russell was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.