MARA A BAZDARIC-RUSSELL FNP
NPI 1316245236
Nurse Practitioner - Family in Potsdam, NY
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, maintains a secondary practice location in Potsdam, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mara A Bazdaric-russell Fnp 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.
Medicare Billing Reassignments
5Medicare enrollment records show Mara Bazdaric-russell reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Potsdam, NY 13676
- Reassigned Medicare billing, New York enrollment
- 414 clinicians in this Medicare group
Akwesasne, NY 13655
- Reassigned Medicare billing, New York enrollment
- 27 clinicians in this Medicare group
Lake Placid, NY 12946
- Reassigned Medicare billing, New York enrollment
- 16 clinicians in this Medicare group
Lake Placid, NY 12946
- Reassigned Medicare billing, New York enrollment
- 5 clinicians in this Medicare group
Cortlandt Manor, NY 10567
- Reassigned Medicare billing, New York enrollment
- 51 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mara Bazdaric-russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mara Bazdaric-russell reassigns Medicare benefits to 5 organizations: Canton-Potsdam Hospital (Potsdam, NY), St Regis Mohawk Tribe (Akwesasne, NY), (Lake Placid, NY), Mountain Medical Primary Care, PLLC (Lake Placid, NY) and Statline Medical PC (Cortlandt Manor, NY). 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 Mara Bazdaric-russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 3 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.
# Mara A Bazdaric-Russell, FNP · NPI 1316245236
Family physician in Potsdam, New York. Individual provider, active in the CMS NPPES registry since March 1, 2011.
## Identity
- **NPI:** 1316245236 (Entity type: Individual)
- **Enumerated:** March 1, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 336641 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 12 ELM ST, Potsdam, NY 13676-2166
- **Phone:** (315) 353-2572 · **Fax:** (315) 353-2479
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Canton-Potsdam Hospital (NPI 1568548782, Potsdam, NY); St Regis Mohawk Tribe (NPI 1457344558, Akwesasne, NY); (NPI 1962472514, Lake Placid, NY); Mountain Medical Primary Care, PLLC (NPI 1427100262, Lake Placid, NY); Statline Medical PC (NPI 1942872759, Cortlandt Manor, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1316245236) · Data from the CMS NPPES public registry.