EARL D RUSSELL JR. FNP
NPI 1447412275
Nurse Practitioner - Family in Brookhaven, MS
About Earl D Russell Jr. Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EARL D RUSSELL JR. FNP (NPI 1447412275) is an individual family provider in Brookhaven, Mississippi, licensed in Mississippi (R852034) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with King's Daughters Medical Center-brookhaven, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Earl D Russell Jr. Fnp 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 Earl Russell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brookhaven, MS 39601
- Reassigned Medicare billing, Mississippi enrollment
- 49 clinicians in this Medicare group
Brookhaven, MS 39601
- Reassigned Medicare billing, Mississippi enrollment
- 153 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
King's Daughters Medical Center-Brookhaven
Acute Care Hospitals · Brookhaven, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39601 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.
BROOKHAVEN, MS 39601
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 Earl Russell's NPI number?
The NPI number for Earl Russell is 1447412275. It was assigned to this individual provider in the NPPES registry on July 2, 2008.
Where is Earl Russell located?
Earl Russell practices at 427 Highway 51 N, Brookhaven, MS 39601. The listed phone number is (601) 823-5301.
What is Earl Russell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Earl Russell enrolled in Medicare?
Yes. Earl 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 Earl Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Earl Russell reassigns Medicare benefits to 2 organizations: Kdmc Physician Clinics LLC (Brookhaven, MS) and Kings Daughters Medical Center (Brookhaven, MS). 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 Earl Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Earl Russell accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Earl 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 Earl Russell affiliated with any hospitals?
According to CMS data, Earl Russell is affiliated with King's Daughters Medical Center-Brookhaven.
When was this NPI record last updated?
The NPPES record for Earl Russell was last updated on July 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Earl D Russell Jr., FNP · NPI 1447412275
Family physician in Brookhaven, Mississippi. Individual provider, active in the CMS NPPES registry since July 2, 2008.
## Identity
- **NPI:** 1447412275 (Entity type: Individual)
- **Enumerated:** July 2, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R852034 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 427 HIGHWAY 51 N, Brookhaven, MS 39601-2350
- **Phone:** (601) 823-5301 · **Fax:** (601) 833-8742
## 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): Kdmc Physician Clinics LLC (NPI 1861739161, Brookhaven, MS); Kings Daughters Medical Center (NPI 1043245368, Brookhaven, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** July 2, 2008
- **Other identifiers:** Other R852034 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1447412275) · Data from the CMS NPPES public registry.