MRS. KATHE ANN RUSSO
NPI 1629424965
Nurse Practitioner - Acute Care in Saint Charles, MO

Active since May 05, 2016PECOS EnrolledAccepts Medicare Assignment
2929 WESTBOROUGH DR, SAINT CHARLES, MO 63301(636) 485-8766 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kathe Ann Russo NPPES

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

MRS. KATHE ANN RUSSO (NPI 1629424965) is an individual acute care provider in Saint Charles, Missouri, licensed in Missouri (2016009378) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Depaul Hospital St Louis, and maintains a secondary practice location in Bridgeton.

NPPES Registry Identity

NPI1629424965
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. KATHE ANN RUSSO
Location Address2929 WESTBOROUGH DRSaint Charles, MO 63301-4546
Mailing AddressPo Box 955534Saint Louis, MO 63195-5534
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMay 5, 2016
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
NPI 1629424965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MO · 2016009378
2929 WESTBOROUGH DR, Saint Charles, MO 63301

Secondary Practice Location 1

Location 112266 De Paul Dr Ste 305Bridgeton, MO 63044-2514 · Phone (314) 770-0991

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 and accepts Medicare assignment

Mrs. Kathe Ann Russo 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 ID7911294483
PECOS Enrollment IDI20160927001661
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.

Hospital Affiliations CMS Care Compare

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

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63301 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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 Kathe Russo's NPI number?

The NPI number for Kathe Russo is 1629424965. It was assigned to this individual provider in the NPPES registry on May 5, 2016.

Where is Kathe Russo located?

Kathe Russo practices at 2929 Westborough Dr, Saint Charles, MO 63301. The listed phone number is (636) 485-8766.

What is Kathe Russo's specialty?

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

Is Kathe Russo enrolled in Medicare?

Yes. Kathe Russo 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.

What insurance does Kathe Russo accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Kathe Russo 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.

Is Kathe Russo affiliated with any hospitals?

According to CMS data, Kathe Russo is affiliated with Ssm Health Depaul Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Kathe Russo was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.