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BONNIE RUSSO LCSW, QS
NPI 1366922288
Counselor - Mental Health in Port Saint Lucie, FL

Active since August 20, 2018PECOS EnrolledAccepts Medicare Assignment
1729 NW SAINT LUCIE WEST BLVD # 1276, PORT SAINT LUCIE, FL 34986(561) 412-9281(620) 522-8594 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 25, 2025, Jun 12, 2023, Apr 11, 2023 and 2 more (5 updates tracked since 2018).

About Bonnie Russo Lcsw, Qs NPPES

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

BONNIE RUSSO LCSW, QS (NPI 1366922288) is an individual mental health provider in Port Saint Lucie, Florida, licensed in Florida (SW15096) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1366922288
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBONNIE RUSSOCredential: LCSW, QS
Location Address1729 NW SAINT LUCIE WEST BLVD # 1276Port Saint Lucie, FL 34986-2501
Mailing Address1729 Nw Saint Lucie West Blvd # 1276Port Saint Lucie, FL 34986-2501 · (561) 412-9281 · Fax (620) 522-8594
Phone(561) 412-9281
Fax(620) 522-8594
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 20, 2018
Last NPPES UpdateNovember 25, 20255 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1366922288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · SW15096
Also ListedSocial WorkerTaxonomy 104100000X · License SW15096 (FL)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License SW15096 (FL)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License SW15096 (FL)
1729 NW SAINT LUCIE WEST BLVD # 1276, Port Saint Lucie, FL 34986
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

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

Bonnie Russo Lcsw, Qs 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 ID4688030414
PECOS Enrollment IDI20230519001509
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 Bonnie Russo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Papillon Health And Wellness LLC
2.6 mi
Clinical
643 SW GRANADEER ST
Port Saint Lucie, FL 34983
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1639892854 (561) 412-9281

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

KAITLYN LAND M.A.
Counselor (Mental Health)
1729 NW SAINT LUCIE WEST BLVD # 1276
PORT SAINT LUCIE, FL 34986
St. Lucie County (863) 623-8500

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 Bonnie Russo's NPI number?

The NPI number for Bonnie Russo is 1366922288. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Where is Bonnie Russo located?

Bonnie Russo practices at 1729 NW Saint Lucie West Blvd # 1276, Port Saint Lucie, FL 34986. The listed phone number is (561) 412-9281.

What is Bonnie Russo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Bonnie Russo enrolled in Medicare?

Yes. Bonnie 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.

Which organization bills Medicare for Bonnie Russo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bonnie Russo reassigns Medicare benefits to Papillon Health And Wellness LLC (Port Saint Lucie, FL). 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 Bonnie Russo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bonnie Russo accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Bonnie 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.

When was this NPI record last updated?

The NPPES record for Bonnie Russo was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.