JANNELL CHAKAKHAN RUSSELL
NPI 1265944979
Nurse Practitioner - Primary Care in Los Angeles, CA
About Jannell Chakakhan Russell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JANNELL CHAKAKHAN RUSSELL (NPI 1265944979) is an individual primary care provider in Los Angeles, California, licensed in Florida (9214052) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
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
Jannell Chakakhan Russell 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90015 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90015
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 Jannell Russell's NPI number?
The NPI number for Jannell Russell is 1265944979. It was assigned to this individual provider in the NPPES registry on November 2, 2017.
Where is Jannell Russell located?
Jannell Russell practices at 1530 S Olive St, Los Angeles, CA 90015. The listed phone number is (213) 747-5542.
What is Jannell Russell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Jannell Russell enrolled in Medicare?
Yes. Jannell 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.
When was this NPI record last updated?
The NPPES record for Jannell Russell was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jannell Chakakhan Russell · NPI 1265944979
Primary Care physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since November 2, 2017.
## Identity
- **NPI:** 1265944979 (Entity type: Individual)
- **Enumerated:** November 2, 2017
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 9214052 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1530 S OLIVE ST, Los Angeles, CA 90015-3023
- **Phone:** (213) 747-5542 · **Fax:** (213) 746-9379
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265944979) · Data from the CMS NPPES public registry.