ASHLYN RUSSO
NPI 1720769979
Student in an Organized Health Care Education/Training Program in Edwardsville, IL

Active since July 31, 2023Accepts Medicare Assignment
1 HAIRPIN DRIVE, EDWARDSVILLE, IL 62026(619) 650-5688 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ashlyn Russo NPPES

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

ASHLYN RUSSO (NPI 1720769979) is an individual student in an organized health care education/training program in Edwardsville, Illinois and active in the NPI registry since July 2023. She is affiliated with Ssm Health Depaul Hospital St Louis and is a graduate of Other (2024).

NPPES Registry Identity

NPI1720769979
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameASHLYN RUSSO
Location Address1 HAIRPIN DRIVEEdwardsville, IL 62026-0001
Mailing Address1 Hairpin DriveEdwardsville, IL 62026-0001 · (618) 650-5688
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
NPI 1720769979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 HAIRPIN DRIVE, Edwardsville, IL 62026

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

Ashlyn Russo 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 ID4981136652
PECOS Enrollment IDI20241018002494

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

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.

Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Nurse Practitioner (Family)
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Registered Nurse
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Nurse Practitioner
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026

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 Ashlyn Russo's NPI number?

The NPI number for Ashlyn Russo is 1720769979. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Ashlyn Russo located?

Ashlyn Russo practices at 1 Hairpin Drive, Edwardsville, IL 62026. The listed phone number is (619) 650-5688.

What is Ashlyn Russo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ashlyn Russo enrolled in Medicare?

Yes. Ashlyn Russo 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.

Is Ashlyn Russo affiliated with any hospitals?

According to CMS data, Ashlyn Russo is affiliated with Ssm Health Depaul Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Ashlyn Russo was last updated on July 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.