AMANDA NICOLE RUSSELL FNP
NPI 1215428578
Nurse Practitioner - Family in Madisonville, KY
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Amanda Russell reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Nashville, TN 37219
- Reassigned Medicare billing, Kentucky enrollment
- 64 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Kentucky enrollment
- 14 clinicians in this Medicare group
London, KY 40741
- Reassigned Medicare billing, Kentucky enrollment
- 362 clinicians in this Medicare group
Columbia, MD 21045
- Reassigned Medicare billing, Kentucky enrollment
- 100 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, KYPhysician 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.
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.
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.
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.
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.
Which organizations bill Medicare for Amanda Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Russell reassigns Medicare benefits to 4 organizations: Ultra Health LLC (Nashville, TN), Ultra Health Providers III LLC (Nashville, TN), Brock Medical, LLC (London, KY) and Provider Partners Care Management LP (Columbia, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Russell accept?
Health plans from Anthem Blue Cross and Blue Shield 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 21 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.
# Amanda Nicole Russell, FNP · NPI 1215428578
Family physician in Madisonville, Kentucky. Individual provider, active in the CMS NPPES registry since May 22, 2018.
## Identity
- **NPI:** 1215428578 (Entity type: Individual)
- **Enumerated:** May 22, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3012241 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 419 N SEMINARY ST, Madisonville, KY 42431-1515
- **Phone:** (731) 394-1145
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Ultra Health LLC (NPI 1922469543, Nashville, TN); Ultra Health Providers III LLC (NPI 1366307696, Nashville, TN); Brock Medical, LLC (NPI 1023379815, London, KY); Provider Partners Care Management LP (NPI 1013348028, Columbia, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215428578) · Data from the CMS NPPES public registry.