MRS. SAMANTHA BURAS RUSSO PMHNP-BC
NPI 1730049255
Nurse Practitioner - Psychiatric/Mental Health in Mandeville, LA

Q: What is Samantha Russo's NPI number?

The NPI number for Samantha Russo is 1730049255. It was assigned to this individual provider in the NPPES registry on November 17, 2025.

Q: What is Samantha Russo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Russo was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 November 17, 2025PECOS Enrolled

4430 HIGHWAY 22, MANDEVILLE, LA 70471(985) 626-3470 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 17, 2026, Jan 1, 2026, Nov 17, 2025 (3 updates tracked since 2025).

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About Mrs. Samantha Buras Russo Pmhnp-bc NPPES

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

MRS. SAMANTHA BURAS RUSSO PMHNP-BC (NPI 1730049255) is an individual psychiatric/mental health provider in Mandeville, Louisiana, licensed in Louisiana (210355) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730049255

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. SAMANTHA BURAS RUSSOCredential: PMHNP-BC

Location Address4430 HIGHWAY 22Mandeville, LA 70471-3310

Mailing Address4430 Highway 22Mandeville, LA 70471-3310 · (985) 626-3470

Phone(985) 626-3470

Sole ProprietorNo

Enumeration DateNovember 17, 2025

Last NPPES UpdateAugust 17, 20263 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1730049255 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 LA · 210355

4430 HIGHWAY 22, Mandeville, LA 70471

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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)

Mrs. Samantha Buras Russo 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 70471 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLOTTE MICHELLE FULLER APRN

Nurse Practitioner (Family)