KRISTIN ELIZABETH NELSON RUSSO DMD
NPI 1568654556
Dentist - Pediatric Dentistry in Mechanicsburg, PA

Q: What is Kristin Russo's NPI number?

The NPI number for Kristin Russo is 1568654556. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Q: What is Kristin Russo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: Is Kristin Russo enrolled in Medicare?

No. Kristin Russo has opted out of Medicare through March 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kristin Russo was last updated on February 27, 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.

Active since August 14, 2007Opted out of Medicare · through Mar 4, 2027

4836 E TRINDLE RD, MECHANICSBURG, PA 17050(717) 737-5834(717) 737-2158 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kristin Elizabeth Nelson Russo Dmd NPPES

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

KRISTIN ELIZABETH NELSON RUSSO DMD (NPI 1568654556) is an individual pediatric dentistry provider in Mechanicsburg, Pennsylvania, licensed in Pennsylvania (DS039489) and active in the NPI registry since August 2007. She has opted out of Medicare through March 4, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1568654556

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameKRISTIN ELIZABETH NELSON RUSSOCredential: DMD

Location Address4836 E TRINDLE RDMechanicsburg, PA 17050

Mailing Address4836 E Trindle RdMechanicsburg, PA 17050 · (717) 737-5834 · Fax (717) 737-2158

Phone(717) 737-5834

Fax(717) 737-2158

Sole ProprietorNo

Enumeration DateAugust 14, 2007

Last NPPES UpdateFebruary 27, 2025

NPPES CertifiedFebruary 27, 2025

✔ NPI 1568654556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in PA · DS039489

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

4836 E TRINDLE RD, Mechanicsburg, PA 17050

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Combined Life.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Kristin Elizabeth Nelson Russo Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 4, 2015 through March 4, 2027.

Opt-Out Effective DateMarch 4, 2015

Opt-Out In Effect ThroughMarch 4, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17050 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

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 6

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

KEARNS & ASHBY DDS PC

Dentist (Pediatric Dentistry)