MR. RUSSELL KEVIN BROXSON JR. FNP BC
NPI 1295587293
Nurse Practitioner - Family in Jay, FL
About Mr. Russell Kevin Broxson Jr. Fnp Bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RUSSELL KEVIN BROXSON JR. FNP BC (NPI 1295587293) is an individual family provider in Jay, Florida, licensed in Florida (11031992) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS, is affiliated with Jay Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Russell Kevin Broxson Jr. Fnp Bc 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jay Hospital
Critical Access Hospitals · Jay, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32565 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JAY, FL 32565
JAY, FL 32565
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 Russell Broxson's NPI number?
The NPI number for Russell Broxson is 1295587293. It was assigned to this individual provider in the NPPES registry on April 3, 2024.
Where is Russell Broxson located?
Russell Broxson practices at 14114 Alabama St, Jay, FL 32565. The listed phone number is (850) 675-8000.
What is Russell Broxson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Russell Broxson enrolled in Medicare?
Yes. Russell Broxson 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.
Is Russell Broxson affiliated with any hospitals?
According to CMS data, Russell Broxson is affiliated with Jay Hospital.
When was this NPI record last updated?
The NPPES record for Russell Broxson was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Mr. Russell Kevin Broxson Jr., FNP BC · NPI 1295587293
Family physician in Jay, Florida. Individual provider, active in the CMS NPPES registry since April 3, 2024.
## Identity
- **NPI:** 1295587293 (Entity type: Individual)
- **Enumerated:** April 3, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11031992 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14114 ALABAMA ST, Jay, FL 32565-1219
- **Phone:** (850) 675-8000
## 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 2022
## Record status
- **NPPES last updated:** April 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1295587293) · Data from the CMS NPPES public registry.