1. Home
  2. Directory
  3. Missouri
  4. Washington
  5. Nurse Practitioner
  6. NPI Profile

KIRSTIN JENNA RUSSELL PMHNP
NPI 1700551918
Nurse Practitioner - Psychiatric/Mental Health in Washington, MO

Active since August 10, 2021PECOS EnrolledAccepts Medicare Assignment
851 E 5TH ST STE 154A, WASHINGTON, MO 63090(636) 266-7900(636) 266-7901 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 10, 2025, May 30, 2023, Feb 14, 2022 and 1 more (4 updates tracked since 2021).

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

NPI1700551918
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIRSTIN JENNA RUSSELLCredential: PMHNP
Location Address851 E 5TH ST STE 154AWashington, MO 63090-3135
Mailing Address851 E 5th St Ste 154aWashington, MO 63090-3135 · (636) 266-7900 · Fax (636) 266-7901
Phone(636) 266-7900
Fax(636) 266-7901
Sole ProprietorNo
Medical School CMSIndiana Medical College, School Of Medicine Of Purdue UniversityGraduated 2021
Enumeration DateAugust 10, 2021
Last NPPES UpdateDecember 10, 20254 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1700551918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MO · 2025040266✔ Licensed in IN · 71011436A
851 E 5TH ST STE 154A, Washington, MO 63090
Open in Google Maps ↗

Other Names 1

Former Name (1)Kirstin J Tidquist

Other Identifiers 5

Medicaid300055577IN
Other264430D16IN · Medicare Ptan
Other1102264002IN · Anthem Ptan
OtherQ00332599IN · Railroad Ptan
Other000001614748IN · Anthem Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

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.

PECOS PAC ID7517355316
PECOS Enrollment IDI20211028000158, I20251217001099
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 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.
91 services41 patients
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.
54 services37 patients

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.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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.

What insurance does Kirstin Russell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource 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 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.