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MRS. SAMARA DEVA RUSSELL APRN, NP-C
NPI 1356622120
Nurse Practitioner - Adult Health in Mount Arlington, NJ

Active since September 07, 2011PECOS Enrolled
400 VALLEY RD STE 105, MOUNT ARLINGTON, NJ 07856(973) 770-7101(973) 770-7108 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 4, 2021, Oct 1, 2015 (2 updates tracked since 2015).

About Mrs. Samara Deva Russell Aprn, Np-c NPPES

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

MRS. SAMARA DEVA RUSSELL APRN, NP-C (NPI 1356622120) is an individual adult health provider in Mount Arlington, New Jersey, licensed in New Jersey (26NJ0107800) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Warwick.

NPPES Registry Identity

NPI1356622120
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. SAMARA DEVA RUSSELLCredential: APRN, NP-C
Location Address400 VALLEY RD STE 105Mount Arlington, NJ 07856-2316
Mailing Address475 Kilvert StWarwick, RI 02886-1379 · (401) 447-6090 · Fax (877) 626-6891
Phone(973) 770-7101
Fax(973) 770-7108
Sole ProprietorNo
Enumeration DateSeptember 7, 2011
Last NPPES UpdateAugust 4, 20212 updates tracked since enumeration
NPPES CertifiedAugust 4, 2021
✔ NPI 1356622120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in NJ · 26NJ0107800✔ Licensed in CT · 004763
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License CAPRN00529 (RI)
Also ListedClinical Nurse Specialist · Occupational HealthTaxonomy 364SX0106X · License 4763 (CT)
400 VALLEY RD STE 105, Mount Arlington, NJ 07856
Open in Google Maps ↗

Secondary Practice Location 1

Location 1475 Kilvert StWarwick, RI 02886-1379 · Phone (401) 447-6090 · Fax (877) 626-6891

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Samara Deva Russell Aprn, Np-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Samara Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advocare, LLC
71 mi
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
NPI 1770538696 (856) 872-7055

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 07856 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 9

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

DR. ASHLEY MARIE ORR AU.D.
Audiologist
400 VALLEY RD STE 105
MOUNT ARLINGTON, NJ 07856
Morris County (973) 770-7101
MORGAN MARHEFKA APN
Nurse Practitioner
400 VALLEY RD STE 105
MT ARLINGTON, NJ 07856
Morris County (973) 770-7101
KATHLEEN MCCANN FNP
Nurse Practitioner (Family)
400 VALLEY RD STE 105
MOUNT ARLINGTON, NJ 07856
Morris County (973) 770-7101
CHRISTIE EMILY PASKOSKI PA-C
Physician Assistant
400 VALLEY RD STE 105
MOUNT ARLINGTON, NJ 07856
Morris County (973) 770-7101
MAGGIE VITCAVICH APN
Nurse Practitioner (Family)
400 VALLEY RD STE 105
MOUNT ARLINGTON, NJ 07856
Morris County (973) 770-7101
DANIELLE BARBIERI APN
Nurse Practitioner
400 VALLEY RD STE 105
MOUNT ARLINGTON, NJ 07856
Morris County (973) 770-7101
ANNE ANDERSON AUD
Audiologist
400 VALLEY RD STE 105
MOUNT ARLINGTON, NJ 07856
Morris County (973) 770-7101
ADVANCED HEARING AID ASSOCIATES
Audiologist-Hearing Aid Fitter
400 VALLEY RD STE 105
MOUNT ARLINGTON, NJ 07856
Morris County (973) 770-0472

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 Samara Russell's NPI number?

The NPI number for Samara Russell is 1356622120. It was assigned to this individual provider in the NPPES registry on September 7, 2011.

Where is Samara Russell located?

Samara Russell practices at 400 Valley Rd Ste 105, Mount Arlington, NJ 07856. The listed phone number is (973) 770-7101.

What is Samara Russell's specialty?

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

Is Samara Russell enrolled in Medicare?

Yes. Samara Russell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samara Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samara Russell reassigns Medicare benefits to Advocare, LLC (Marlton, NJ). The 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 Samara 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 Samara Russell was last updated on August 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.