MRS. SANTAY SHAW RUSSELL PMHNP
NPI 1649123845
Nurse Practitioner - Psychiatric/Mental Health in Lakeland, FL
About Mrs. Santay Shaw Russell Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SANTAY SHAW RUSSELL PMHNP (NPI 1649123845) is an individual psychiatric/mental health provider in Lakeland, Florida, licensed in Florida (APRN11045383) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Santay Shaw Russell Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Santay Shaw Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ocala, FL 34474
- Reassigned Medicare billing, Florida enrollment
- 369 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33811 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKELAND, FL 33811
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 Santay Shaw Russell's NPI number?
The NPI number for Santay Shaw Russell is 1649123845. It was assigned to this individual provider in the NPPES registry on February 17, 2026.
Where is Santay Shaw Russell located?
Santay Shaw Russell practices at 4237 Salt Springs Ln, Lakeland, FL 33811. The listed phone number is (954) 470-5460.
What is Santay Shaw Russell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Santay Shaw Russell enrolled in Medicare?
Yes. Santay Shaw Russell is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Santay Shaw Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Santay Shaw Russell reassigns Medicare benefits to Balanced Wellbeing LLC (Ocala, FL). The 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 Santay Shaw Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Santay Shaw Russell accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Santay Shaw 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 Santay Shaw Russell was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mrs. Santay Shaw Russell, PMHNP · NPI 1649123845
Psychiatric/Mental Health physician in Lakeland, Florida. Individual provider, active in the CMS NPPES registry since February 17, 2026.
## Identity
- **NPI:** 1649123845 (Entity type: Individual)
- **Enumerated:** February 17, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN11045383 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4237 SALT SPRINGS LN, Lakeland, FL 33811-1893
- **Phone:** (954) 470-5460
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Balanced Wellbeing LLC (NPI 1336513639, Ocala, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1649123845) · Data from the CMS NPPES public registry.