TERESA DAWN RUSSELL APRN
NPI 1528658945
Nurse Practitioner - Family in Ocala, FL

Active since January 20, 2021PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
125 SW 11TH ST, OCALA, FL 34471(352) 354-9000(352) 620-0255 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2022, Jan 27, 2022, Jan 20, 2021 (3 updates tracked since 2021).

About Teresa Dawn Russell Aprn NPPES

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

TERESA DAWN RUSSELL APRN (NPI 1528658945) is an individual family provider in Ocala, Florida, licensed in Florida (APRN11010455) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Ocala, and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1528658945
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERESA DAWN RUSSELLCredential: APRN
Location Address125 SW 11TH STOcala, FL 34471-0967
Mailing Address125 Sw 11th StOcala, FL 34471-0967 · (352) 354-9000 · Fax (352) 620-0255
Fax(352) 620-0255
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 20, 2021
Last NPPES UpdateApril 24, 20253 updates tracked since enumeration
NPPES CertifiedApril 24, 2025
NPI 1528658945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · APRN11010455
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN11010455 (FL)
125 SW 11TH ST, Ocala, FL 34471

Secondary Practice Location 1

Location 11600 SW Archer RdGainesville, FL 32610-0967 · Phone (352) 273-9079

Accepted 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

Teresa Dawn Russell Aprn 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 ID1052727716
PECOS Enrollment IDI20210304001892
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 6

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 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.
75 services56 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.
65 services64 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services36 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
43 services40 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
23 services23 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Ocala

Acute Care Hospitals · Ocala, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100062
Location1500 SW 1st AveOcala, FL 34474 · Marion County
Emergency services Birthing friendly

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34471 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Interventional Cardiology)
125 SW 11TH ST
OCALA, FL 34471
Internal Medicine (Interventional Cardiology)
125 SW 11TH ST
OCALA, FL 34471
Nurse Practitioner (Family)
125 SW 11TH ST
OCALA, FL 34471
Internal Medicine (Interventional Cardiology)
125 SW 11TH ST
OCALA, FL 34471
Internal Medicine (Cardiovascular Disease)
125 SW 11TH ST
OCALA, FL 34471
Internal Medicine (Interventional Cardiology)
125 SW 11TH ST
OCALA, FL 34471
Internal Medicine (Interventional Cardiology)
125 SW 11TH ST
OCALA, FL 34471
Internal Medicine (Interventional Cardiology)
125 SW 11TH ST
OCALA, FL 34471

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 Teresa Russell's NPI number?

The NPI number for Teresa Russell is 1528658945. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Where is Teresa Russell located?

Teresa Russell practices at 125 SW 11th St, Ocala, FL 34471. The listed phone number is (352) 354-9000.

What is Teresa Russell's specialty?

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

Is Teresa Russell enrolled in Medicare?

Yes. Teresa 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 Teresa Russell accept?

Health plans from AvMed list Teresa 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 Teresa Russell affiliated with any hospitals?

According to CMS data, Teresa Russell is affiliated with Adventhealth Ocala and Uf Health Shands Hospital.

When was this NPI record last updated?

The NPPES record for Teresa Russell was last updated on April 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.