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MISS IMELDA TIVIDAD RUSSELL CRNP
NPI 1528163540
Nurse Practitioner - Adult Health in Riverdale, MD

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
6510 KENILWORTH AVE STE 2500, RIVERDALE, MD 20737(410) 997-1907 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Imelda Tividad Russell Crnp NPPES

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

MISS IMELDA TIVIDAD RUSSELL CRNP (NPI 1528163540) is an individual adult health provider in Riverdale, Maryland, licensed in Maryland (AC000309) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Adventist Healthcare White Oak Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1528163540
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMISS IMELDA TIVIDAD RUSSELLCredential: CRNP
Location Address6510 KENILWORTH AVE STE 2500Riverdale, MD 20737-1346
Mailing Address6510 Kenilworth Ave Ste 2500Riverdale, MD 20737-1346 · (109) 971-9074
Phone(410) 997-1907
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateSeptember 14, 2006
Last NPPES UpdateOctober 1, 2018
✔ NPI 1528163540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MD · AC000309
6510 KENILWORTH AVE STE 2500, Riverdale, MD 20737
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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

Miss Imelda Tividad Russell Crnp 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 ID3678572492
PECOS Enrollment IDI20061205000415, I20061205000458
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 8

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
846 services330 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
208 services207 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
182 services88 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
108 services70 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
71 services71 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
38 services36 patients

Hospital Affiliations CMS Care Compare

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

Adventist Healthcare White Oak Medical Center

Acute Care Hospitals · Silver Spring, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210016
Location11890 Healing WaySilver Spring, MD 20904 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20737 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 2

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

RUSSELL & GENC HEALTH AND WELLNESS CENTER CORPORATION
Nurse Practitioner
6510 KENILWORTH AVE STE 2500
RIVERDALE, MD 20737
Prince George's County (410) 997-1907
BINNUR GENC
Nurse Practitioner (Family)
6510 KENILWORTH AVE STE 2500
RIVERDALE, MD 20737
Prince George's County (410) 997-1907

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 Imelda Russell's NPI number?

The NPI number for Imelda Russell is 1528163540. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Imelda Russell located?

Imelda Russell practices at 6510 Kenilworth Ave Ste 2500, Riverdale, MD 20737. The listed phone number is (410) 997-1907.

What is Imelda Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Imelda Russell enrolled in Medicare?

Yes. Imelda 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.

Is Imelda Russell affiliated with any hospitals?

According to CMS data, Imelda Russell is affiliated with Adventist Healthcare White Oak Medical Center.

When was this NPI record last updated?

The NPPES record for Imelda Russell was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.