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DANIEL JAMES RUSSELL NP
NPI 1639933484
Nurse Practitioner in Burlington, WI

Active since February 12, 2024PECOS EnrolledAccepts Medicare Assignment
677 E STATE ST, BURLINGTON, WI 53105(262) 763-9531 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Daniel James Russell Np NPPES

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

DANIEL JAMES RUSSELL NP (NPI 1639933484) is an individual nurse practitioner in Burlington, Wisconsin, licensed in Wisconsin (13237-33) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639933484
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDANIEL JAMES RUSSELLCredential: NP
Location Address677 E STATE STBurlington, WI 53105-1639
Mailing Address8610 45th AveKenosha, WI 53142-2435 · (262) 939-4744
Phone(262) 763-9531
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
✔ NPI 1639933484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 13237-33
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.
677 E STATE ST, Burlington, WI 53105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.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

Daniel James 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.

PECOS PAC ID1052759032
PECOS Enrollment IDI20240410000803
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 Reassignments

3

Medicare enrollment records show Daniel Russell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vituity-Wisconsin Em Sc
20 mi
Emergency Medicine
9555 76TH ST
Pleasant Prairie, WI 53158
  • Reassigned Medicare billing, Wisconsin enrollment
  • 104 clinicians in this Medicare group
NPI 1326730664 (262) 577-8000
Froedtert South, Inc.
25 mi
Family Medicine
6308 8TH AVE
Kenosha, WI 53143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 212 clinicians in this Medicare group
NPI 1558305284 (262) 656-2718
Theoria Medical
247 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Wisconsin enrollment
  • 32 clinicians in this Medicare group
NPI 1609362375 (248) 860-4634

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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
514 services87 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
296 services87 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
75 services39 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
31 services23 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53105 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

MOUNT CARMEL HEALTH CARE LLC
Skilled Nursing Facility
677 E STATE ST
BURLINGTON, WI 53105
Racine County (262) 763-9531
PEGGY STOPPLE
Physical Therapy Assistant
677 E STATE ST
BURLINGTON, WI 53105
Racine County (262) 763-9531
ERIN DUENK
Occupational Therapy Assistant
677 E STATE ST
BURLINGTON, WI 53105
Racine County (262) 763-9531
ESTELA WEBER OTR/L
Occupational Therapist
677 E STATE ST
BURLINGTON, WI 53105
Racine County (262) 763-9531
MRS. BARBARA ANN GABRYSIAK P.T.
Physical Therapist
677 E STATE ST
BURLINGTON, WI 53105
Racine County (262) 763-9531
JAZZLYN GARCIA PTA
Physical Therapy Assistant
677 E STATE ST
BURLINGTON, WI 53105
Racine County (262) 763-9531
ELIZABETH MARY MORRISSEY DPT
Physical Therapist
677 E STATE ST
BURLINGTON, WI 53105
Racine County (262) 763-9531
MRS. ANNETTE BRAUCKHOFF
Occupational Therapist
677 E STATE ST
BURLINGTON, WI 53105
Racine County (262) 763-9531

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 Daniel Russell's NPI number?

The NPI number for Daniel Russell is 1639933484. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Where is Daniel Russell located?

Daniel Russell practices at 677 E State St, Burlington, WI 53105. The listed phone number is (262) 763-9531.

What is Daniel Russell's specialty?

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

Is Daniel Russell enrolled in Medicare?

Yes. Daniel 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 Daniel Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Russell reassigns Medicare benefits to 3 organizations: Vituity-Wisconsin Em Sc (Pleasant Prairie, WI), Froedtert South, Inc. (Kenosha, WI) and Theoria Medical (Novi, MI). 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 Daniel Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Russell accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Daniel 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.

Is Daniel Russell affiliated with any hospitals?

According to CMS data, Daniel Russell is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Daniel Russell was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.