MS. JENNIFER RUSSELL A-G NP
NPI 1659791986
Nurse Practitioner - Adult Health in Los Angeles, CA

Active since April 25, 2014PECOS EnrolledAccepts Medicare Assignment
1441 EASTLAKE AVE, LOS ANGELES, CA 90089(323) 865-3105 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 29, 2020, Mar 6, 2020 (2 updates tracked since 2020).

About Ms. Jennifer Russell A-g Np NPPES

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

MS. JENNIFER RUSSELL A-G NP (NPI 1659791986) is an individual adult health provider in Los Angeles, California, licensed in California (NP95013177) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1659791986
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. JENNIFER RUSSELLCredential: A-G NP
Location Address1441 EASTLAKE AVELos Angeles, CA 90089-5403
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 865-3105
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 25, 2014
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedAugust 29, 2020
NPI 1659791986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses Licensed in CA · NP95013177 Licensed in NY · 306506
1441 EASTLAKE AVE, Los Angeles, CA 90089

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

Ms. Jennifer Russell A-g 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 ID9739468786
PECOS Enrollment IDI20191230002458
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.

Areas of Expertise CMS Part B claims 2

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.
15 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90089 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Internal Medicine (Hematology & Oncology)
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Physician Assistant (Surgical)
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Dermatology
1441 EASTLAKE AVE, TOPPING TOWER, SUITE 3405
LOS ANGELES, CA 90089
Nurse Practitioner (Acute Care)
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Dietitian, Registered
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Surgery (Surgical Oncology)
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Internal Medicine (Hematology & Oncology)
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1441 EASTLAKE AVE
LOS ANGELES, CA 90089

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 Jennifer Russell's NPI number?

The NPI number for Jennifer Russell is 1659791986. It was assigned to this individual provider in the NPPES registry on April 25, 2014.

Where is Jennifer Russell located?

Jennifer Russell practices at 1441 Eastlake Ave, Los Angeles, CA 90089. The listed phone number is (323) 865-3105.

What is Jennifer Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jennifer Russell enrolled in Medicare?

Yes. Jennifer 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.

When was this NPI record last updated?

The NPPES record for Jennifer Russell was last updated on November 27, 2023. 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.