DAVID RUSSELL PMHNP
NPI 1477167666
Nurse Practitioner - Psychiatric/Mental Health in Stockton, CA
About David Russell Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID RUSSELL PMHNP (NPI 1477167666) is an individual psychiatric/mental health provider in Stockton, California, licensed in California (95039943) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, maintains 20 additional practice locations, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 20
Group Practice 1
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
David Russell Pmhnp 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
STOCKTON, CA 95207
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 David Russell's NPI number?
The NPI number for David Russell is 1477167666. It was assigned to this individual provider in the NPPES registry on September 3, 2020.
Where is David Russell located?
David Russell practices at 4545 Georgetown Pl Ste D, Stockton, CA 95207. The listed phone number is (209) 554-5581.
What is David Russell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is David Russell enrolled in Medicare?
Yes. David 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.
When was this NPI record last updated?
The NPPES record for David Russell was last updated on April 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
