OCTAVIA ALEXANDRIA RUSSELL CRNP
NPI 1306643226
Nurse Practitioner - Adult Health in Huntsville, AL

Q: What is Octavia Russell's NPI number?

The NPI number for Octavia Russell is 1306643226. It was assigned to this individual provider in the NPPES registry on February 27, 2025.

Q: What is Octavia Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Octavia Russell was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since February 27, 2025PECOS Enrolled

420 LOWELL DR SE STE 302, HUNTSVILLE, AL 35801(256) 265-1910 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Octavia Alexandria Russell Crnp NPPES

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

OCTAVIA ALEXANDRIA RUSSELL CRNP (NPI 1306643226) is an individual adult health provider in Huntsville, Alabama, licensed in Alabama (1-185903) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1306643226

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameOCTAVIA ALEXANDRIA RUSSELLCredential: CRNP

Location Address420 LOWELL DR SE STE 302Huntsville, AL 35801-3762

Mailing Address420 Lowell Dr Se Ste 302Huntsville, AL 35801-3762

Phone(256) 265-1910

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 27, 2025

NPPES CertifiedFebruary 27, 2025

✔ NPI 1306643226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in AL · 1-185903

420 LOWELL DR SE STE 302, Huntsville, AL 35801

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Octavia Alexandria Russell Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284120247

PECOS Enrollment IDI20251230001656

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

Other Providers at the Same Location NPPES 5

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

MRS. ANDREA CASTEEL CRNP

Nurse Practitioner (Primary Care)