CHRISTINE ELIZABETH RUSSO CPNP-PC
NPI 1720738263
Nurse Practitioner - Pediatrics in Stony Brook, NY
About Christine Elizabeth Russo Cpnp-pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTINE ELIZABETH RUSSO CPNP-PC (NPI 1720738263) is an individual pediatrics provider in Stony Brook, New York, licensed in New York (383362) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Christine Elizabeth Russo Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Christine Russo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hawthorne, NY 10532
- Reassigned Medicare billing, New York enrollment
- 511 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 11794 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.
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
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 Christine Russo's NPI number?
The NPI number for Christine Russo is 1720738263. It was assigned to this individual provider in the NPPES registry on March 27, 2022. The provider is also known as Christine Nastasi.
Where is Christine Russo located?
Christine Russo practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 682-3289.
What is Christine Russo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Christine Russo enrolled in Medicare?
Yes. Christine Russo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Christine Russo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Christine Russo reassigns Medicare benefits to Boston Children's Health Physicians, LLP (Hawthorne, NY). The 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 Christine Russo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Christine Russo was last updated on March 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Christine Elizabeth Russo, CPNP-PC · NPI 1720738263
Pediatrics physician in Stony Brook, New York. Individual provider, active in the CMS NPPES registry since March 27, 2022.
## Identity
- **NPI:** 1720738263 (Entity type: Individual)
- **Enumerated:** March 27, 2022
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 383362 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 NICOLLS RD, Stony Brook, NY 11794-0001
- **Phone:** (631) 682-3289
## 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:** Boston Children's Health Physicians, LLP (NPI 1467454967, Hawthorne, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1720738263) · Data from the CMS NPPES public registry.