CHRISTINE ELIZABETH RUSSO CPNP-PC
NPI 1720738263
Nurse Practitioner - Pediatrics in Stony Brook, NY

Q: 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.

Q: What is Christine Russo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: 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.

Active since March 27, 2022PECOS Enrolled

101 NICOLLS RD, STONY BROOK, NY 11794(631) 682-3289 Get Directions Write a Review

NPPES record last updated: March 27, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

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

NPI1720738263

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameCHRISTINE ELIZABETH RUSSOCredential: CPNP-PC

Location Address101 NICOLLS RDStony Brook, NY 11794-0001

Mailing Address136 Windward DrPort Jefferson, NY 11777-2331 · (631) 682-3289

Phone(631) 682-3289

Sole ProprietorYes

Enumeration DateMarch 27, 2022

NPPES CertifiedMarch 27, 2022

✔ NPI 1720738263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NY · 383362

101 NICOLLS RD, Stony Brook, NY 11794

Open in Google Maps ↗

Other Names 1

Former Name (1)Christine Nastasi

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christine Elizabeth Russo Cpnp-pc 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 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.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

NARINDER SINGH M.D.

Internal Medicine