1. Home
  2. Directory
  3. Tennessee
  4. Jackson
  5. Nurse Practitioner
  6. NPI Profile

MS. TINA MARIE RUSSELL MSN, APRN, FNP-C
NPI 1295328342
Nurse Practitioner - Family in Jackson, TN

Active since February 18, 2021PECOS Enrolled
15 OLD HUMBOLDT RD, JACKSON, TN 38305(731) 256-6456(731) 256-6475 Get Directions Write a Review

NPPES record last updated: April 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 18, 2026, Dec 13, 2022, Jun 24, 2021 and 1 more (4 updates tracked since 2021).

About Ms. Tina Marie Russell Msn, Aprn, Fnp-c NPPES

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

MS. TINA MARIE RUSSELL MSN, APRN, FNP-C (NPI 1295328342) is an individual family provider in Jackson, Tennessee, licensed in Tennessee (APN0000028980) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and maintains a secondary practice location in Brownsville.

NPPES Registry Identity

NPI1295328342
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. TINA MARIE RUSSELLCredential: MSN, APRN, FNP-C
Location Address15 OLD HUMBOLDT RDJackson, TN 38305-3506
Mailing Address15 Old Humboldt Rd Ste AJackson, TN 38305-3506 · (731) 256-6456 · Fax (731) 256-6475
Phone(731) 256-6456
Fax(731) 256-6475
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 18, 2021
Last NPPES UpdateApril 18, 20264 updates tracked since enumeration
NPPES CertifiedApril 18, 2026
✔ NPI 1295328342 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 TN · APN0000028980
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 153147 (TN)
15 OLD HUMBOLDT RD, Jackson, TN 38305
Open in Google Maps ↗

Secondary Practice Location 1

Location 12565 N Washington AveBrownsville, TN 38012-1610 · Phone (731) 772-4199

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tina Marie Russell Msn, Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002210598
PECOS Enrollment IDI20210805000803
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Tina Russell reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Imind Mental Health And Wellness LLC
1.4 mi
Clinical
65 MURRAY GUARD DR
Jackson, TN 38305
  • Reassigned Medicare billing, Tennessee enrollment
  • 8 clinicians in this Medicare group
NPI 1144714882 (731) 363-5584
Imind Geriatrics And Behavioral Health LLC
2.1 mi
Psychiatric/Mental Health
312 GREENHILL DR
Jackson, TN 38305
  • Reassigned Medicare billing, Tennessee enrollment
  • 4 clinicians in this Medicare group
NPI 1265174775 (731) 300-0810
Bh Services Southeast 1 PC
24 mi
Nurse Practitioner
2565 N WASHINGTON AVE
Brownsville, TN 38012
  • Reassigned Medicare billing, Tennessee enrollment
  • 129 clinicians in this Medicare group
NPI 1164251526 (731) 772-4199
Dyersburg Family Walk-In Clinic LLC
39 mi
Rural Health
1954 ST JOHN AVE, SUITE 1
Dyersburg, TN 38024
  • Reassigned Medicare billing, Tennessee enrollment
  • 44 clinicians in this Medicare group
NPI 1174712780 (731) 285-6110
Crossroads Urgent Care PLLC
138 mi
Family Medicine
2445 MEMORIAL BLVD
Murfreesboro, TN 37129
  • Reassigned Medicare billing, Tennessee enrollment
  • 310 clinicians in this Medicare group
NPI 1366644361 (615) 864-8713

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
34 services27 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Tina Russell's NPI number?

The NPI number for Tina Russell is 1295328342. It was assigned to this individual provider in the NPPES registry on February 18, 2021.

Where is Tina Russell located?

Tina Russell practices at 15 Old Humboldt Rd, Jackson, TN 38305. The listed phone number is (731) 256-6456.

What is Tina Russell's specialty?

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

Is Tina Russell enrolled in Medicare?

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

Which organizations bill Medicare for Tina Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Russell reassigns Medicare benefits to 5 organizations: Imind Mental Health And Wellness LLC (Jackson, TN), Imind Geriatrics And Behavioral Health LLC (Jackson, TN), Bh Services Southeast 1 PC (Brownsville, TN), Dyersburg Family Walk-In Clinic LLC (Dyersburg, TN) and Crossroads Urgent Care PLLC (Murfreesboro, TN). 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 Tina Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Russell accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Tina 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 Tina Russell affiliated with any hospitals?

According to CMS data, Tina Russell is affiliated with Jackson-Madison County General Hospital.

When was this NPI record last updated?

The NPPES record for Tina Russell was last updated on April 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.