JESSIE MARIE RUSSELL CNP
NPI 1720820012
Nurse Practitioner - Acute Care in Columbus, OH

Q: What is Jessie Russell's NPI number?

The NPI number for Jessie Russell is 1720820012. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Q: What is Jessie Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jessie Russell was last updated on August 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 10, 2024PECOS Enrolled

111 S GRANT AVE, COLUMBUS, OH 43215(614) 566-9550 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2024, Aug 1, 2024, Jun 10, 2024 (3 updates tracked since 2024).

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About Jessie Marie Russell Cnp NPPES

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

JESSIE MARIE RUSSELL CNP (NPI 1720820012) is an individual acute care provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.0037167) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720820012

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJESSIE MARIE RUSSELLCredential: CNP

Location Address111 S GRANT AVEColumbus, OH 43215-4701

Mailing AddressPo Box 7527Dublin, OH 43017-0727

Phone(614) 566-9550

Sole ProprietorNo

Enumeration DateJune 10, 2024

Last NPPES UpdateAugust 19, 20243 updates tracked since enumeration

NPPES CertifiedAugust 19, 2024

✔ NPI 1720820012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in OH · APRN.CNP.0037167

111 S GRANT AVE, Columbus, OH 43215

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessie Marie Russell Cnp 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 43215 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.