MS. KAREN J RUSSELL NP
NPI 1568415909
Nurse Practitioner - Acute Care in Dover, DE
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
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Karen Russell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dover, DE 19904
- Reassigned Medicare billing, Delaware enrollment
- Also billed through NPI 1407615388 (Delaware), NPI 1417473935 (Delaware)
- 202 clinicians in this Medicare group
Dover, DE 19901
- Reassigned Medicare billing, Delaware enrollment
- 166 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
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.
Which organizations bill Medicare for Karen Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Russell reassigns Medicare benefits to 2 organizations: Bayhealth Medical Center, Inc (Dover, DE) and Apogee Medical Group, Delaware, Inc (Dover, DE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Russell accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Karen 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.
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 14 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.
# Ms. Karen J Russell, NP · NPI 1568415909
Acute Care physician in Dover, Delaware. Individual provider, active in the CMS NPPES registry since May 18, 2006.
## Identity
- **NPI:** 1568415909 (Entity type: Individual)
- **Enumerated:** May 18, 2006
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** LZ0000110 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 FORREST AVE, Dover, DE 19904-3309
- **Phone:** (302) 672-4600 · **Fax:** (302) 672-4606
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Bayhealth Medical Center, Inc (NPI 1720545536, Dover, DE); Apogee Medical Group, Delaware, Inc (NPI 1326485285, Dover, DE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** October 12, 2012
- **Other identifiers:** Medicare PIN 020010C16 (DE); Medicaid 1568415909 (DE)
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Source: [NPI Profile](https://npiprofile.com/npi/1568415909) · Data from the CMS NPPES public registry.