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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARA A BAZDARIC-RUSSELL FNP
NPI 1316245236
Nurse Practitioner - Family in Potsdam, NY

Active since March 01, 2011PECOS Enrolled
12 ELM ST, POTSDAM, NY 13676(315) 353-2572(315) 353-2479 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2026, Feb 28, 2017, Sep 21, 2016 (3 updates tracked since 2016).

About Mara A Bazdaric-russell Fnp NPPES

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

MARA A BAZDARIC-RUSSELL FNP (NPI 1316245236) is an individual family provider in Potsdam, New York, licensed in New York (336641) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Potsdam.

NPPES Registry Identity

NPI1316245236
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARA A BAZDARIC-RUSSELLCredential: FNP
Location Address12 ELM STPotsdam, NY 13676-2166
Mailing Address50 Leroy StPotsdam, NY 13676-1786
Phone(315) 353-2572
Fax(315) 353-2479
Sole ProprietorNo
Enumeration DateMarch 1, 2011
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1316245236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 336641
12 ELM ST, Potsdam, NY 13676
Open in Google Maps ↗

Secondary Practice Location 1

Location 150 LeRoy StPotsdam, NY 13676-1786 · Phone (315) 261-5954 · Fax (315) 261-6422

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mara A Bazdaric-russell Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 13676 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 10

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

AN TULLOCH PA-C
Physician Assistant
12 ELM ST
POTSDAM, NY 13676
St. Lawrence County (315) 261-5420
MS. AIMEE JEAN RAYMONDA FNP
Nurse Practitioner (Family)
12 ELM ST
POTSDAM, NY 13676
St. Lawrence County (315) 353-2572
STEVEN MCFADDEN LMHC
Counselor (Mental Health)
12 ELM ST
POTSDAM, NY 13676
St. Lawrence County (315) 353-2572
GARY E TORBEY DO
Ophthalmology
12 ELM ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-8017
JENNA PEARSON
Counselor (Mental Health)
12 ELM ST
POTSDAM, NY 13676
St. Lawrence County (315) 353-2572
JOSEPH DOMINIC ZOLLO MD
Psychiatry & Neurology (Psychiatry)
12 ELM ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
DR. LAURIE J. ZWEIFEL PH.D.
Psychologist (Clinical Child & Adolescent)
12 ELM ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-5420
ANDREW JAMESON GALBRAITH MSW
Social Worker (Clinical)
12 ELM ST
POTSDAM, NY 13676
St. Lawrence County (315) 261-5420

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 Mara Bazdaric-russell's NPI number?

The NPI number for Mara Bazdaric-russell is 1316245236. It was assigned to this individual provider in the NPPES registry on March 1, 2011.

Where is Mara Bazdaric-russell located?

Mara Bazdaric-russell practices at 12 Elm St, Potsdam, NY 13676. The listed phone number is (315) 353-2572.

What is Mara Bazdaric-russell's specialty?

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

Is Mara Bazdaric-russell enrolled in Medicare?

Yes. Mara Bazdaric-russell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mara Bazdaric-russell was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.