JAMIE RUSSELL APRN, FNP-BC
NPI 1578015137
Nurse Practitioner - Family in Johnson City, TN

Active since October 31, 2016PECOS Enrolled
365 STOUT DRIVE, SUITE 160, JOHNSON CITY, TN 37614(423) 439-4225(423) 439-4560 Get Directions Write a Review

NPPES record last updated: June 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2017, Oct 31, 2016 (2 updates tracked since 2016).

About Jamie Russell Aprn, Fnp-bc NPPES

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

JAMIE RUSSELL APRN, FNP-BC (NPI 1578015137) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (21637) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1578015137
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJAMIE RUSSELLCredential: APRN, FNP-BC
Location Address365 STOUT DRIVE, SUITE 160Johnson City, TN 37614-1703
Mailing Address365 Stout Drive, Box 70403Johnson City, TN 37614-1703 · (423) 439-4515 · Fax (423) 439-5780
Fax(423) 439-4560
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 31, 2016
Last NPPES UpdateJune 30, 20172 updates tracked since enumeration
NPI 1578015137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 21637
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 21637 (TN)
365 STOUT DRIVE, SUITE 160, Johnson City, TN 37614

Other Identifiers 1

Other21637TN · License

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jamie Russell Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133592090
PECOS Enrollment IDI20230224000827
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 37614 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

Nurse Practitioner (Family)
365 STOUT DRIVE, SUITE 160
JOHNSON CITY, TN 37614
Nurse Practitioner (Family)
365 STOUT DRIVE, SUITE 160
JOHNSON CITY, TN 37614

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 Jamie Russell's NPI number?

The NPI number for Jamie Russell is 1578015137. It was assigned to this individual provider in the NPPES registry on October 31, 2016.

Where is Jamie Russell located?

Jamie Russell practices at 365 Stout Drive, Suite 160, Johnson City, TN 37614. The listed phone number is (423) 439-4225.

What is Jamie Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jamie Russell enrolled in Medicare?

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

What insurance does Jamie Russell accept?

Health plans from UnitedHealthcare list Jamie 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 Jamie Russell was last updated on June 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.