JENNIFER RUSSO RN, PMHNP
NPI 1407200413
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Q: What is Jennifer Russo's NPI number?

The NPI number for Jennifer Russo is 1407200413. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Q: What is Jennifer Russo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Russo was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since April 15, 2016PECOS EnrolledAccepts Medicare Assignment

2480 E TOMPKINS AVE STE 100, LAS VEGAS, NV 89121(725) 724-2005(877) 418-8013 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer Russo Rn, Pmhnp NPPES

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

JENNIFER RUSSO RN, PMHNP (NPI 1407200413) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Oregon (202203390-NP-PP) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Henderson, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1407200413

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJENNIFER RUSSOCredential: RN, PMHNP

Location Address2480 E TOMPKINS AVE STE 100Las Vegas, NV 89121-7394

Mailing Address83 Kind AveHenderson, NV 89002-3364 · (702) 824-7691

Phone(725) 724-2005

Fax(877) 418-8013

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 15, 2016

Last NPPES UpdateOctober 31, 2024

NPPES CertifiedOctober 31, 2024

✔ NPI 1407200413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in OR · 202203390-NP-PP✔ Licensed in IA · G167246✔ Licensed in AZ · 238538✔ Licensed in NV · 848206

Also ListedHealth EducatorTaxonomy 174H00000X · License RN55131 (NV)

2480 E TOMPKINS AVE STE 100, Las Vegas, NV 89121

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Secondary Practice Location 1

Location 183 Kind AveHenderson, NV 89002-3364 · Phone (702) 824-7691

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Providence Health Plan.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

Jennifer Russo Rn, Pmhnp 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 ID3971984394

PECOS Enrollment IDI20220718000728

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 89121 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

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 Jennifer Russo's NPI number?

The NPI number for Jennifer Russo is 1407200413. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Where is Jennifer Russo located?

Jennifer Russo practices at 2480 E Tompkins Ave Ste 100, Las Vegas, NV 89121. The listed phone number is (725) 724-2005.

What is Jennifer Russo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jennifer Russo enrolled in Medicare?

Yes. Jennifer 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 Jennifer Russo accept?

Health plans from Blue Cross and Blue Shield of Texas and Providence Health Plan list Jennifer 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 Jennifer Russo was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.