AMY GAUCK RUSSO FNP
NPI 1316619901
Nurse Practitioner - Family in Grand Rapids, MI

Active since October 01, 2021PECOS EnrolledAccepts Medicare Assignment
655 KENMOOR AVE SE STE 200, GRAND RAPIDS, MI 49546(616) 363-7690(616) 942-8917 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2022, Jan 24, 2022, Oct 1, 2021 (3 updates tracked since 2021).

About Amy Gauck Russo Fnp NPPES

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

AMY GAUCK RUSSO FNP (NPI 1316619901) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704302008) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1316619901
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY GAUCK RUSSOCredential: FNP
Location Address655 KENMOOR AVE SE STE 200Grand Rapids, MI 49546-8622
Mailing Address655 Kenmoor Ave Se Ste 200Grand Rapids, MI 49546-8622 · (616) 363-7690 · Fax (616) 942-8917
Fax(616) 942-8917
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 1, 2021
Last NPPES UpdateJuly 24, 20253 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
NPI 1316619901 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
Licenses Licensed in MI · 4704302008 Licensed in TX · 1052618
655 KENMOOR AVE SE STE 200, Grand Rapids, MI 49546

Accepted Insurance

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

Amy Gauck Russo 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.

PECOS PAC ID6204229081
PECOS Enrollment IDI20250623003273
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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
319 services236 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
257 services190 patients
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.
186 services150 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
152 services110 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
85 services57 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
23 services22 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Nurse Practitioner (Family)
655 KENMOOR AVE SE STE 200
GRAND RAPIDS, MI 49546
Internal Medicine
655 KENMOOR AVE SE STE 200
GRAND RAPIDS, MI 49546
Physician Assistant
655 KENMOOR AVE SE STE 200
GRAND RAPIDS, MI 49546
Internal Medicine
655 KENMOOR AVE SE STE 200
GRAND RAPIDS, MI 49546
Family Medicine
655 KENMOOR AVE SE STE 200
GRAND RAPIDS, MI 49546

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 Amy Russo's NPI number?

The NPI number for Amy Russo is 1316619901. It was assigned to this individual provider in the NPPES registry on October 1, 2021.

Where is Amy Russo located?

Amy Russo practices at 655 Kenmoor Ave SE Ste 200, Grand Rapids, MI 49546. The listed phone number is (616) 363-7690.

What is Amy Russo's specialty?

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

Is Amy Russo enrolled in Medicare?

Yes. Amy Russo 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.

What insurance does Amy Russo accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Amy Russo 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 Amy Russo affiliated with any hospitals?

According to CMS data, Amy Russo is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Amy Russo was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.