KOURTNEY RUSSO FNP-C
NPI 1487207031
Nurse Practitioner - Family in Fort Worth, TX

Q: What is Kourtney Russo's NPI number?

The NPI number for Kourtney Russo is 1487207031. It was assigned to this individual provider in the NPPES registry on July 23, 2019.

Q: What is Kourtney Russo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kourtney Russo was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since July 23, 2019PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

800 W MAGNOLIA AVE, FORT WORTH, TX 76104(817) 759-7000(817) 759-7027 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2025, Dec 18, 2020, Oct 28, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Kourtney Russo Fnp-c NPPES

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

KOURTNEY RUSSO FNP-C (NPI 1487207031) is an individual family provider in Fort Worth, Texas, licensed in Texas (AP142031) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1487207031

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKOURTNEY RUSSOCredential: FNP-C

Location Address800 W MAGNOLIA AVEFort Worth, TX 76104-4611

Mailing Address800 W Magnolia AveFort Worth, TX 76104-4611 · (817) 759-7000 · Fax (817) 759-7027

Phone(817) 759-7000

Fax(817) 759-7027

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 23, 2019

Last NPPES UpdateFebruary 6, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2025

✔ NPI 1487207031 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 TX · AP142031

800 W MAGNOLIA AVE, Fort Worth, TX 76104

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Kourtney Russo Fnp-c 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 ID6901135292

PECOS Enrollment IDI20190911003721

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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.

JEREMY AARON ROSS M.D.

Internal Medicine (Hematology & Oncology)