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MARY C RUSSELL APRN
NPI 1447258652
Nurse Practitioner - Family in Blaine, TN

Active since July 12, 2005PECOS Enrolled
180 EMORY RD, BLAINE, TN 37709(865) 933-4110(865) 933-4729 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Mary C Russell Aprn NPPES

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

MARY C RUSSELL APRN (NPI 1447258652) is an individual family provider in Blaine, Tennessee, licensed in Tennessee (APN5921) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447258652
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY C RUSSELLCredential: APRN
Location Address180 EMORY RDBlaine, TN 37709-2420
Mailing AddressDepartment 888182Knoxville, TN 37995-0001 · (800) 355-3565 · Fax (423) 714-2355
Phone(865) 933-4110
Fax(865) 933-4729
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1447258652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · APN5921
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN65079 (TN)
180 EMORY RD, Blaine, TN 37709
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Other Identifiers 1

Medicaid3342488TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary C Russell Aprn 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 Mary Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Faculty Internal Medicine, PLLC
31 mi
Specialist
11440 PARKSIDE DR, SUITE 302
Knoxville, TN 37934
  • Reassigned Medicare billing, Tennessee enrollment
  • 19 clinicians in this Medicare group
NPI 1265457113 (865) 288-1548

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 37709 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 3

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

TARA DANIELLE ATKINS R.N.
Registered Nurse
180 EMORY RD
BLAINE, TN 37709
Grainger County (865) 933-4110
ROBERT EARL SAUNDERS JR. LICENSED CLINICAL SO
Social Worker (Clinical)
180 EMORY RD
BLAINE, TN 37709
Grainger County (865) 933-4110
JOHN ANDREW NEECE PHD
Psychologist (Counseling)
180 EMORY RD
BLAINE, TN 37709
Grainger County (865) 933-4110

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 Mary Russell's NPI number?

The NPI number for Mary Russell is 1447258652. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Mary Russell located?

Mary Russell practices at 180 Emory Rd, Blaine, TN 37709. The listed phone number is (865) 933-4110.

What is Mary Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Russell enrolled in Medicare?

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

Which organization bills Medicare for Mary Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Russell reassigns Medicare benefits to Faculty Internal Medicine, PLLC (Knoxville, TN). 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 Mary 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 Mary Russell was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.