KATELYN R RUSSELL PMHNP-BC
NPI 1619732633
Nurse Practitioner in Evansville, IN

Q: What is Katelyn Russell's NPI number?

The NPI number for Katelyn Russell is 1619732633. It was assigned to this individual provider in the NPPES registry on February 19, 2024.

Q: What is Katelyn Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Katelyn Russell was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 February 19, 2024PECOS EnrolledAccepts Medicare Assignment

7200 E INDIANA ST, EVANSVILLE, IN 47715(812) 476-7200(812) 471-4514 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Katelyn R Russell Pmhnp-bc NPPES

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

KATELYN R RUSSELL PMHNP-BC (NPI 1619732633) is an individual nurse practitioner in Evansville, Indiana, licensed in Indiana (28196825A) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and maintains a secondary practice location in Evansville.

NPPES Registry Identity

NPI1619732633

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKATELYN R RUSSELLCredential: PMHNP-BC

Location Address7200 E INDIANA STEvansville, IN 47715-2753

Mailing AddressPo Box 632281Cincinnati, OH 45263-2281 · (812) 450-6822 · Fax (812) 450-6815

Phone(812) 476-7200

Fax(812) 471-4514

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 19, 2024

Last NPPES UpdateApril 2, 2026

NPPES CertifiedApril 2, 2026

✔ NPI 1619732633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 28196825A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 71014906A (IN)

7200 E INDIANA ST, Evansville, IN 47715

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Secondary Practice Location 1

Location 1445 N Cross Pointe BlvdEvansville, IN 47715-4010 · Phone (812) 471-4611 · Fax (812) 471-4514

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katelyn R Russell Pmhnp-bc 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 ID143762542

PECOS Enrollment IDI20240612002537

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.

Medicare Billing Reassignment

Medicare enrollment records show Katelyn Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Deaconess Hospital, Inc

Same address

Psychiatry

7200 E INDIANA ST
Evansville, IN 47715

Reassigned Medicare billing, Indiana enrollment
717 clinicians in this Medicare group

NPI 1497862486 (812) 476-7200

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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

35 services18 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

30 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150082

Location600 Mary StEvansville, IN 47710 · Vanderburgh County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47715 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 20

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

JAMES M BOLING MD

Psychiatry & Neurology (Psychiatry)