KIRSTIN JENNA RUSSELL PMHNP
NPI 1700551918
Nurse Practitioner - Psychiatric/Mental Health in Washington, MO
About Kirstin Jenna Russell Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIRSTIN JENNA RUSSELL PMHNP (NPI 1700551918) is an individual psychiatric/mental health provider in Washington, Missouri, licensed in Missouri (2025040266) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Indiana Medical College, School Of Medicine Of Purdue University (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 and accepts Medicare assignment
Kirstin Jenna Russell Pmhnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kirstin Russell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Festus, MO 63028
- Reassigned Medicare billing, Missouri enrollment
- 32 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 1,781 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63090 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kirstin Russell's NPI number?
The NPI number for Kirstin Russell is 1700551918. It was assigned to this individual provider in the NPPES registry on August 10, 2021. The provider is also known as Kirstin J Tidquist.
Where is Kirstin Russell located?
Kirstin Russell practices at 851 E 5th St Ste 154A, Washington, MO 63090. The listed phone number is (636) 266-7900.
What is Kirstin Russell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kirstin Russell enrolled in Medicare?
Yes. Kirstin 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 Kirstin Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kirstin Russell reassigns Medicare benefits to 3 organizations: Mercy Clinic Adult Psychiatry, LLC (Festus, MO), Indiana University Health Care Associates, Inc (Indianapolis, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). 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 Kirstin Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kirstin Russell accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and Ambetter from Meridian and 5 other insurers list Kirstin 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 Kirstin Russell was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kirstin Jenna Russell, PMHNP · NPI 1700551918
Psychiatric/Mental Health physician in Washington, Missouri. Individual provider, active in the CMS NPPES registry since August 10, 2021.
## Identity
- **NPI:** 1700551918 (Entity type: Individual)
- **Enumerated:** August 10, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 2025040266 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 851 E 5TH ST STE 154A, Washington, MO 63090-3135
- **Phone:** (636) 266-7900 · **Fax:** (636) 266-7901
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mercy Clinic Adult Psychiatry, LLC (NPI 1750788972, Festus, MO); Indiana University Health Care Associates, Inc (NPI 1902032832, Indianapolis, IN); Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana Medical College, School Of Medicine Of Purdue University, class of 2021
## Record status
- **NPPES last updated:** December 10, 2025
- **Other identifiers:** Medicaid 300055577 (IN); Other 264430D16 (IN); Other 1102264002 (IN); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1700551918) · Data from the CMS NPPES public registry.