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DR. ELIZABETH ALEXIS RUSSELL DNP, APRN, FNP-BC
NPI 1518779966
Nurse Practitioner - Family in South Bend, IN

Active since January 23, 2025PECOS EnrolledAccepts Medicare Assignment
1122 S IRONWOOD DR, SOUTH BEND, IN 46615(574) 335-8399(574) 335-0786 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Nov 20, 2025, Jun 12, 2025, May 23, 2025 (3 updates tracked since 2025).

About Dr. Elizabeth Alexis Russell Dnp, Aprn, Fnp-bc NPPES

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

DR. ELIZABETH ALEXIS RUSSELL DNP, APRN, FNP-BC (NPI 1518779966) is an individual family provider in South Bend, Indiana, licensed in Indiana (71016727A) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1518779966
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. ELIZABETH ALEXIS RUSSELLCredential: DNP, APRN, FNP-BC
Location Address1122 S IRONWOOD DRSouth Bend, IN 46615-1618
Mailing Address1122 S Ironwood DrSouth Bend, IN 46615-1618 · (574) 335-8399 · Fax (574) 335-0786
Phone(574) 335-8399
Fax(574) 335-0786
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 23, 2025
Last NPPES UpdateNovember 20, 20253 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1518779966 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 IN · 71016727A
1122 S IRONWOOD DR, South Bend, IN 46615
Open in Google Maps ↗

Other Names 1

Former Name (1)Elizabeth Alexis Heisler Bsn, Rnc-ob

Other Identifiers 1

Medicaid300115591IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Dr. Elizabeth Alexis Russell Dnp, Aprn, Fnp-bc 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 ID8224540265
PECOS Enrollment IDI20250625000755
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.

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46615 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 4

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

WESTON S CARTER MD
Family Medicine
1122 S IRONWOOD DR
SOUTH BEND, IN 46615
St. Joseph County (574) 335-8399
MRS. ABIGAIL M BATTJES DO
Family Medicine
1122 S IRONWOOD DR
SOUTH BEND, IN 46615
St. Joseph County (574) 335-8399
MISS DEIDRE A COFFEY FNP
Nurse Practitioner (Family)
1122 S IRONWOOD DR
SOUTH BEND, IN 46615
St. Joseph County (574) 335-8399
BRIAN MOLONEY M.D.
Family Medicine
1122 S IRONWOOD DR
SOUTH BEND, IN 46615
St. Joseph County (574) 472-6699

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 Elizabeth Russell's NPI number?

The NPI number for Elizabeth Russell is 1518779966. It was assigned to this individual provider in the NPPES registry on January 23, 2025. The provider is also known as Elizabeth Alexis Heisler Bsn, Rnc-Ob.

Where is Elizabeth Russell located?

Elizabeth Russell practices at 1122 S Ironwood Dr, South Bend, IN 46615. The listed phone number is (574) 335-8399.

What is Elizabeth Russell's specialty?

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

Is Elizabeth Russell enrolled in Medicare?

Yes. Elizabeth 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.

What insurance does Elizabeth Russell accept?

Health plans from CareSource list Elizabeth 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 Elizabeth Russell affiliated with any hospitals?

According to CMS data, Elizabeth Russell is affiliated with Saint Joseph Regional Medical Center and Memorial Hospital Of South Bend.

When was this NPI record last updated?

The NPPES record for Elizabeth Russell was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.