SANDRA K RUSSELL DO
NPI 1417937723
Obstetrics & Gynecology in Okemos, MI

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment
2104 JOLLY RD, SUITE 220, OKEMOS, MI 48864(517) 975-1400(517) 975-1405 Get Directions Write a Review

NPPES record last updated: November 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandra K Russell Do NPPES

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

SANDRA K RUSSELL DO (NPI 1417937723) is an individual obstetrics & gynecology provider in Okemos, Michigan, licensed in Michigan (5101010708) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Mclaren Greater Lansing, and is a graduate of Michigan State University College Of Osteopathic Medicine (1989).

NPPES Registry Identity

NPI1417937723
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSANDRA K RUSSELLCredential: DO
Location Address2104 JOLLY RD, SUITE 220Okemos, MI 48864-6043
Mailing Address401 S Ballenger HwyFlint, MI 48532-3638 · (810) 342-1000 · Fax (810) 342-1590
Fax(517) 975-1405
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1989
Enumeration DateJanuary 20, 2006
Last NPPES UpdateNovember 29, 2012
NPI 1417937723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MI · 5101010708
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2104 JOLLY RD, Okemos, MI 48864

Other Identifiers 12

Other1006244MI · Health Advantage Network
Other1652300205MI · Blue Cross Blue Shield
Medicare UPINE68082MI
Other160C311260MI · Blue Choice
Other1006244MI · Mclaren Health Plan
Medicaid4460493MI
Other0700083MI · Physicians Health Plan
Other160C311260MI · Blue Cross Blue Shield
Other160C311260MI · Community Blue Ppo
Other160C311260MI · Blue Care Network
OtherE68082MI · Health Net Federal Servic
Medicare ID-Type UnspecifiedOC36083016MI

Accepted 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

Sandra K Russell Do 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 ID4688704216
PECOS Enrollment IDI20100609000019
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Greater Lansing

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230167
Location2900 Collins RdLansing, MI 48910 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48864 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 7

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

Nurse Practitioner
2104 JOLLY RD, SUITE 220
OKEMOS, MI 48864
Clinic/Center (Primary Care)
2104 JOLLY RD, SUITE 290
OKEMOS, MI 48864
Family Medicine
2104 JOLLY RD, SUITE 290
OKEMOS, MI 48864
Advanced Practice Midwife
2104 JOLLY RD, SUITE 220
OKEMOS, MI 48864
Dentist (General Practice)
2104 JOLLY RD, SUITE 260
OKEMOS, MI 48864
Family Medicine
2104 JOLLY RD, STE 240
OKEMOS, MI 48864
Family Medicine
2104 JOLLY RD, SUITE 290
OKEMOS, MI 48864

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 Sandra Russell's NPI number?

The NPI number for Sandra Russell is 1417937723. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Sandra Russell located?

Sandra Russell practices at 2104 Jolly Rd Suite 220, Okemos, MI 48864. The listed phone number is (517) 975-1400.

What is Sandra Russell's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sandra Russell enrolled in Medicare?

Yes. Sandra 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.

What insurance does Sandra Russell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Sandra Russell 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.

Is Sandra Russell affiliated with any hospitals?

According to CMS data, Sandra Russell is affiliated with Mclaren Greater Lansing.

When was this NPI record last updated?

The NPPES record for Sandra Russell was last updated on November 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.