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SHANNAN R RUSS N.P.
NPI 1457405144
Nurse Practitioner - Family in Elmira, NY

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment
1005 WALNUT ST, ELMIRA, NY 14901(607) 734-3968(833) 450-5884 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shannan R Russ N.p. NPPES

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

SHANNAN R RUSS N.P. (NPI 1457405144) is an individual family provider in Elmira, New York, licensed in New York (F332653) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Saginaw Valley Medical College - Nlg (1999).

NPPES Registry Identity

NPI1457405144
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNAN R RUSSCredential: N.P.
Location Address1005 WALNUT STElmira, NY 14901-1007
Mailing Address1005 Walnut StElmira, NY 14901-1007 · (607) 734-3968 · Fax (833) 450-5884
Phone(607) 734-3968
Fax(833) 450-5884
Sole ProprietorNo
Medical School CMSSaginaw Valley Medical College - NlgGraduated 1999
Enumeration DateJanuary 22, 2007
Last NPPES UpdateMarch 20, 2025
NPPES CertifiedMarch 20, 2025
✔ NPI 1457405144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F332653
1005 WALNUT ST, Elmira, NY 14901
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Other Names 1

Former Name (1)Shannan R Hamilton N.p.

Other Identifiers 1

Medicaid02001921NY

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

Shannan R Russ N.p. 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 ID2264412683
PECOS Enrollment IDI20040724000211
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 Shannan Russ reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Chautauqua Center, Inc
Same address
Gynecology
1005 WALNUT ST
Elmira, NY 14901
  • Reassigned Medicare billing, New York enrollment
  • 63 clinicians in this Medicare group
NPI 1326817693 (716) 363-6050

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 14901 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 6

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

DR. BRUCE ALLEN SUROSKY M.D.
Obstetrics & Gynecology
1005 WALNUT ST
ELMIRA, NY 14901
Chemung County (607) 734-3968
THE CHAUTAUQUA CENTER, INC
Obstetrics & Gynecology (Gynecology)
1005 WALNUT ST
ELMIRA, NY 14901
Chemung County (716) 363-6050
MRS. KARYN NICKERSON C.N.M.
Midwife
1005 WALNUT ST
ELMIRA, NY 14901
Chemung County (607) 734-3968
TWIN TIER WOMEN'S HEALTH TEAM
Specialist
1005 WALNUT ST
ELMIRA, NY 14901
Chemung County (607) 734-3968
MS. HELEN LAWSON C.N.M.
Midwife
1005 WALNUT ST
ELMIRA, NY 14901
Chemung County (607) 734-3968
JENNIFER L SHARE CNM
Advanced Practice Midwife
1005 WALNUT ST
ELMIRA, NY 14901
Chemung County (607) 734-3960

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 Shannan Russ's NPI number?

The NPI number for Shannan Russ is 1457405144. It was assigned to this individual provider in the NPPES registry on January 22, 2007. The provider is also known as Shannan R Hamilton N.P..

Where is Shannan Russ located?

Shannan Russ practices at 1005 Walnut St, Elmira, NY 14901. The listed phone number is (607) 734-3968.

What is Shannan Russ's specialty?

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

Is Shannan Russ enrolled in Medicare?

Yes. Shannan Russ 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 Shannan Russ's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannan Russ reassigns Medicare benefits to The Chautauqua Center, Inc (Elmira, NY). 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 Shannan Russ'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 Shannan Russ was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.