MICHELLE JEANNINE RUSSELL NP
NPI 1336822519
Nurse Practitioner - Family in San Francisco, CA

Active since August 14, 2023PECOS EnrolledAccepts Medicare Assignment
1825 4TH ST, SAN FRANCISCO, CA 94143(415) 353-9888 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 23, 2025, Aug 14, 2023 (2 updates tracked since 2023).

About Michelle Jeannine Russell Np NPPES

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

MICHELLE JEANNINE RUSSELL NP (NPI 1336822519) is an individual family provider in San Francisco, California, licensed in California (95025736) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1336822519
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE JEANNINE RUSSELLCredential: NP
Location Address1825 4TH STSan Francisco, CA 94143-2350
Mailing Address8 Locksley Ave Apt 7cSan Francisco, CA 94122-3849 · (859) 250-1490
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 14, 2023
Last NPPES UpdateMay 23, 20252 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
NPI 1336822519 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 CA · 95025736
1825 4TH ST, San Francisco, CA 94143

Secondary Practice Location 1

Location 12100 Webster St Ste 225San Francisco, CA 94115-2376 · Phone (415) 923-3012 · Fax (415) 928-4840

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

Michelle Jeannine Russell Np 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 ID4183133697
PECOS Enrollment IDI20250604003248
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 94143 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

Obstetrics & Gynecology
1825 4TH ST
SAN FRANCISCO, CA 94143
Surgery
1825 4TH ST, 3RD FLOOR BOX 1710
SAN FRANCISCO, CA 94143
Nurse Practitioner (Acute Care)
1825 4TH ST
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
1825 4TH ST
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
1825 4TH ST
SAN FRANCISCO, CA 94143
Student in an Organized Health Care Education/Training Program
1825 4TH ST
SAN FRANCISCO, CA 94143
Nurse Practitioner
1825 4TH ST
SAN FRANCISCO, CA 94143
Pediatrics
1825 4TH ST
SAN FRANCISCO, CA 94143

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 Michelle Russell's NPI number?

The NPI number for Michelle Russell is 1336822519. It was assigned to this individual provider in the NPPES registry on August 14, 2023.

Where is Michelle Russell located?

Michelle Russell practices at 1825 4th St, San Francisco, CA 94143. The listed phone number is (415) 353-9888.

What is Michelle Russell's specialty?

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

Is Michelle Russell enrolled in Medicare?

Yes. Michelle 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.

When was this NPI record last updated?

The NPPES record for Michelle Russell was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.