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JACQUELINE MARIE RUSSELL PMHNP-BC
NPI 1720673577
Nurse Practitioner - Psychiatric/Mental Health in Enterprise, OR

Active since March 03, 2021PECOS Enrolled
606 MEDICAL PKWY, ENTERPRISE, OR 97828(541) 426-4524(541) 426-3035 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2023, Mar 3, 2021 (2 updates tracked since 2021).

About Jacqueline Marie Russell Pmhnp-bc NPPES

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

JACQUELINE MARIE RUSSELL PMHNP-BC (NPI 1720673577) is an individual psychiatric/mental health provider in Enterprise, Oregon, licensed in Oregon (10013334) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720673577
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJACQUELINE MARIE RUSSELLCredential: PMHNP-BC
Location Address606 MEDICAL PKWYEnterprise, OR 97828-5140
Mailing Address79571 Leap LnWallowa, OR 97885-7107 · (503) 899-3219 · Fax (541) 426-3035
Phone(541) 426-4524
Fax(541) 426-3035
Sole ProprietorNo
Enumeration DateMarch 3, 2021
Last NPPES UpdateMarch 1, 20242 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1720673577 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
License✔ Licensed in OR · 10013334
606 MEDICAL PKWY, Enterprise, OR 97828
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan 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 (PECOS)

Jacqueline Marie Russell Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97828 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

WALLOWA VALLEY CENTER FOR WELLNESS
Community/Behavioral Health
606 MEDICAL PKWY
ENTERPRISE, OR 97828
Wallowa County (541) 426-4524
VANESSA LEWIS
Counselor
606 MEDICAL PKWY
ENTERPRISE, OR 97828
Wallowa County (541) 426-4524
WALLOWA VALLEY CENTER FOR WELLNESS
Clinic/Center (Rehabilitation, Substance Use Disorder)
606 MEDICAL PKWY
ENTERPRISE, OR 97828
Wallowa County (541) 426-4524
MS. CARMEN MICHELE REQUA
Case Manager/Care Coordinator
606 MEDICAL PKWY
ENTERPRISE, OR 97828
Wallowa County (541) 426-4524
MR. CHARLES C. COURTNEY STRICKLAND MSW, LCSW, LCAS, CCS
Social Worker (Clinical)
606 MEDICAL PKWY
ENTERPRISE, OR 97828
Wallowa County (542) 426-4524
MICHAEL SORRELLS
Counselor (Addiction (Substance Use Disorder))
606 MEDICAL PKWY
ENTERPRISE, OR 97828
Wallowa County (541) 426-4524
CATHERINE KRISTINE GALVAN RN
Counselor
606 MEDICAL PKWY, HEARTS 4 HEALTH
ENTERPRISE, OR 97828
Wallowa County (541) 426-4524
KELLY LOUISE BIGSBY RN
Registered Nurse
606 MEDICAL PKWY
ENTERPRISE, OR 97828
Wallowa County (541) 426-4524

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 Jacqueline Russell's NPI number?

The NPI number for Jacqueline Russell is 1720673577. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Jacqueline Russell located?

Jacqueline Russell practices at 606 Medical Pkwy, Enterprise, OR 97828. The listed phone number is (541) 426-4524.

What is Jacqueline Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jacqueline Russell enrolled in Medicare?

Yes. Jacqueline Russell is registered in the Medicare PECOS enrollment system.

What insurance does Jacqueline Russell accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jacqueline 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 Jacqueline Russell was last updated on March 1, 2024. 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.