MS. KAREN J RUSSELL NP
NPI 1568415909
Nurse Practitioner - Acute Care in Dover, DE

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
1100 FORREST AVE, DOVER, DE 19904(302) 672-4600(302) 672-4606 Get Directions Write a Review

NPPES record last updated: October 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Karen J Russell Np NPPES

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

MS. KAREN J RUSSELL NP (NPI 1568415909) is an individual acute care provider in Dover, Delaware, licensed in Delaware (LZ0000110) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1568415909
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. KAREN J RUSSELLCredential: NP
Location Address1100 FORREST AVEDover, DE 19904-3309
Mailing Address640 S State St, 742 BuildingDover, DE 19901-3530 · (302) 674-3970 · Fax (302) 672-2350
Fax(302) 672-4606
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 18, 2006
Last NPPES UpdateOctober 12, 2012
NPI 1568415909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in DE · LZ0000110
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License LG0000540 (DE)
1100 FORREST AVE, Dover, DE 19904

Other Identifiers 2

Medicare PIN020010C16DE
Medicaid1568415909DE

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. Karen J Russell Np 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 ID547268583
PECOS Enrollment IDI20061129000275
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 2

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.
52 services43 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19904 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier16 claims16 services$2,427.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
1100 FORREST AVE
DOVER, DE 19904
Specialist
1100 FORREST AVE
DOVER, DE 19904
Internal Medicine (Rheumatology)
1100 FORREST AVE
DOVER, DE 19904
Physician Assistant (Medical)
1100 FORREST AVE
DOVER, DE 19904
Internal Medicine (Rheumatology)
1100 FORREST AVE
DOVER, DE 19904
Internal Medicine (Rheumatology)
1100 FORREST AVE
DOVER, DE 19904
Internal Medicine (Cardiovascular Disease)
1100 FORREST AVE
DOVER, DE 19904
Internal Medicine (Rheumatology)
1100 FORREST AVE
DOVER, DE 19904

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 Karen Russell's NPI number?

The NPI number for Karen Russell is 1568415909. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Karen Russell located?

Karen Russell practices at 1100 Forrest Ave, Dover, DE 19904. The listed phone number is (302) 672-4600.

What is Karen Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Karen Russell enrolled in Medicare?

Yes. Karen 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.

When was this NPI record last updated?

The NPPES record for Karen Russell was last updated on October 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.