NICOLE E RUSSELL NP
NPI 1366795551
Nurse Practitioner - Family in North Syracuse, NY
About Nicole E Russell Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE E RUSSELL NP (NPI 1366795551) is an individual family provider in North Syracuse, New York, licensed in New York (337402) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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
Nicole E 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nicole Russell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 54 clinicians in this Medicare group
Bohemia, NY 11716
- Reassigned Medicare billing, New York enrollment
- 754 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 13212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Nicole Russell's NPI number?
The NPI number for Nicole Russell is 1366795551. It was assigned to this individual provider in the NPPES registry on October 25, 2012. The provider is also known as Nicole E. Levy.
Where is Nicole Russell located?
Nicole Russell practices at 5496 E Taft Rd, North Syracuse, NY 13212. The listed phone number is (315) 552-6700.
What is Nicole Russell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Russell enrolled in Medicare?
Yes. Nicole 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 Nicole Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Russell reassigns Medicare benefits to 2 organizations: Upstate Family And Preventive Medicine, Inc (Syracuse, NY) and Brookview Medical Associates, PLLC (Bohemia, 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 Nicole 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 Nicole Russell was last updated on February 8, 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.
# Nicole E Russell, NP · NPI 1366795551
Family physician in North Syracuse, New York. Individual provider, active in the CMS NPPES registry since October 25, 2012.
## Identity
- **NPI:** 1366795551 (Entity type: Individual)
- **Enumerated:** October 25, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 337402 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 5496 E TAFT RD, North Syracuse, NY 13212-3784
- **Phone:** (315) 552-6700 · **Fax:** (315) 552-6701
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Upstate Family And Preventive Medicine, Inc (NPI 1073988911, Syracuse, NY); Brookview Medical Associates, PLLC (NPI 1871965855, Bohemia, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** February 8, 2021
- **Other identifiers:** Medicaid 03519028 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1366795551) · Data from the CMS NPPES public registry.