MRS. REBECCA HALL RUSSELL CNNP
NPI 1679769657
Nurse Practitioner in Jackson, MS
About Mrs. Rebecca Hall Russell Cnnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. REBECCA HALL RUSSELL CNNP (NPI 1679769657) is an individual nurse practitioner in Jackson, Mississippi, licensed in Mississippi (785141) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
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. Rebecca Hall Russell Cnnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Rebecca Russell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Meridian, MS 39301
- Reassigned Medicare billing, Mississippi enrollment
- 349 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 39216 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39216
JACKSON, MS 39216
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 Rebecca Russell's NPI number?
The NPI number for Rebecca Russell is 1679769657. It was assigned to this individual provider in the NPPES registry on September 24, 2007.
Where is Rebecca Russell located?
Rebecca Russell practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-5260.
What is Rebecca Russell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Rebecca Russell enrolled in Medicare?
Yes. Rebecca Russell is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Rebecca Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Russell reassigns Medicare benefits to 2 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS) and Medical Foundation, Inc. (Meridian, MS). 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 Rebecca Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rebecca Russell accept?
Health plans from Blue Cross and Blue Shield of Alabama and HMO Louisiana list Rebecca 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 Rebecca Russell was last updated on May 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mrs. Rebecca Hall Russell, CNNP · NPI 1679769657
Nurse Practitioner physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since September 24, 2007.
## Identity
- **NPI:** 1679769657 (Entity type: Individual)
- **Enumerated:** September 24, 2007
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 785141 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 984-5260
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS); Medical Foundation, Inc. (NPI 1609820539, Meridian, MS) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2017
- **Other identifiers:** Medicare PIN 512I500387 (MS); Medicaid 2379577 (LA); Medicaid 06107379 (MS); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1679769657) · Data from the CMS NPPES public registry.