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MRS. KELLY SHANNON RUSSELL APRN-CNP
NPI 1538375233
Nurse Practitioner - Women's Health in Allen, OK

Active since May 16, 2007PECOS Enrolled

NPPES record last updated: January 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Shannon Russell Aprn-cnp NPPES

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

MRS. KELLY SHANNON RUSSELL APRN-CNP (NPI 1538375233) is an individual women's health provider in Allen, Oklahoma, licensed in Oklahoma (0050643) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538375233
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. KELLY SHANNON RUSSELLCredential: APRN-CNP
Location Address200 N EASTONAllen, OK 74825-9713
Mailing Address200 Easton StreetAllen, OK 74825 · (580) 857-1300
Phone(580) 857-1300
Sole ProprietorNo
Enumeration DateMay 16, 2007
Last NPPES UpdateJanuary 14, 2019
✔ NPI 1538375233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in OK · 0050643
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 0050643 (OK)
200 N EASTON, Allen, OK 74825
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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 (PECOS)

Mrs. Kelly Shannon Russell Aprn-cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 74825 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

TRI-COUNTY PRIMARY CARE LLC
Family Medicine
200 N EASTON
ALLEN, OK 74825
Pontotoc County (580) 857-1300
RURAL HEALTH CARE INNOVATIONS
Family Medicine
200 N EASTON
ALLEN, OK 74825
Pontotoc County (580) 857-1300

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 Kelly Russell's NPI number?

The NPI number for Kelly Russell is 1538375233. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Kelly Russell located?

Kelly Russell practices at 200 N Easton, Allen, OK 74825. The listed phone number is (580) 857-1300.

What is Kelly Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Kelly Russell enrolled in Medicare?

Yes. Kelly Russell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Russell was last updated on January 14, 2019. 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.