DIANE R RUSSELL FNP
NPI 1457994089
Nurse Practitioner in Salt Lake City, UT

Q: What is Diane Russell's NPI number?

The NPI number for Diane Russell is 1457994089. It was assigned to this individual provider in the NPPES registry on October 27, 2019.

Q: What is Diane Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Diane Russell was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 27, 2019PECOS EnrolledAccepts Medicare Assignment

1160 E 3900 S STE 2000, SALT LAKE CITY, UT 84124(801) 266-3418(801) 266-4174 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2022, Sep 23, 2020, Mar 25, 2020 and 1 more (4 updates tracked since 2019).

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About Diane R Russell Fnp NPPES

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

DIANE R RUSSELL FNP (NPI 1457994089) is an individual nurse practitioner in Salt Lake City, Utah, licensed in Utah (5648785-4405) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with St Mark's Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1457994089

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDIANE R RUSSELLCredential: FNP

Location Address1160 E 3900 S STE 2000Salt Lake City, UT 84124-1236

Mailing AddressPo Box 741729Atlanta, GA 30374-1729

Phone(801) 266-3418

Fax(801) 266-4174

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 27, 2019

Last NPPES UpdateFebruary 9, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2020

✔ NPI 1457994089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in UT · 5648785-4405

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 5648785-4405 (UT)

1160 E 3900 S STE 2000, Salt Lake City, UT 84124

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.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

Diane R Russell 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.

PECOS PAC ID7315367323

PECOS Enrollment IDI20201013002222

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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

97 services87 patients

Hospital Affiliations CMS Care Compare 2

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

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT

3/5 CMS rating

OwnershipProprietary

CMS Certification Number460047

Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County

Emergency services Birthing friendly

Lone Peak Hospital

Acute Care Hospitals · Draper, UT

5/5 CMS rating

OwnershipProprietary

CMS Certification Number460060

Location11925 South State StreetDraper, UT 84020 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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 19

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

DR. STEPHANIE RAE CONTRERAS LOWDER FNP-BC

Nurse Practitioner