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MS. NANCY ELLEN RUSSELL CNP
NPI 1558639831
Nurse Practitioner - Primary Care in Cincinnati, OH

Active since December 01, 2011PECOS EnrolledAccepts Medicare Assignment
85.49/100
CMS Quality Rating
4900 BABSON PLACE SUITE 600, CINCINNATI, OH 45227(513) 272-8444(513) 272-0015 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Nancy Ellen Russell Cnp NPPES

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

MS. NANCY ELLEN RUSSELL CNP (NPI 1558639831) is an individual primary care provider in Cincinnati, Ohio, licensed in Ohio (16812) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1993).

NPPES Registry Identity

NPI1558639831
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMS. NANCY ELLEN RUSSELLCredential: CNP
Location Address4900 BABSON PLACE SUITE 600Cincinnati, OH 45227
Mailing Address4900 Babson PlCincinnati, OH 45227-2693 · (513) 272-8444 · Fax (513) 272-0015
Phone(513) 272-8444
Fax(513) 272-0015
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1993
Enumeration DateDecember 1, 2011
Last NPPES UpdateMarch 12, 2025
✔ NPI 1558639831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in OH · 16812
Also ListedRegistered Nurse · GerontologyTaxonomy 163WG0600X · License RN180312 (OH)
4900 BABSON PLACE SUITE 600, Cincinnati, OH 45227
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Ms. Nancy Ellen Russell Cnp 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 ID9032427810
PECOS Enrollment IDI20150928001715
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 4

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
264 services76 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
228 services137 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
29 services29 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
16 services12 patients

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45227 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers18 claims38 services$6.59 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$42.26 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$64.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nancy Russell's NPI number?

The NPI number for Nancy Russell is 1558639831. It was assigned to this individual provider in the NPPES registry on December 1, 2011.

Where is Nancy Russell located?

Nancy Russell practices at 4900 Babson Place Suite 600, Cincinnati, OH 45227. The listed phone number is (513) 272-8444.

What is Nancy Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Nancy Russell enrolled in Medicare?

Yes. Nancy 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 Nancy Russell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Nancy 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 Nancy Russell affiliated with any hospitals?

According to CMS data, Nancy Russell is affiliated with Christ Hospital.

When was this NPI record last updated?

The NPPES record for Nancy Russell was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.