MISS NICOLE KOTVAL RUSSELL I RN
NPI 1730806498
Nurse Practitioner - Family in Mobile, AL

Q: What is Nicole Russell's NPI number?

The NPI number for Nicole Russell is 1730806498. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Q: What is Nicole Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Russell was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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 October 24, 2022PECOS Enrolled

124 S UNIVERSITY BLVD STE A, MOBILE, AL 36608(513) 435-0042 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2024, Oct 24, 2022 (2 updates tracked since 2022).

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About Miss Nicole Kotval Russell I Rn NPPES

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

MISS NICOLE KOTVAL RUSSELL I RN (NPI 1730806498) is an individual family provider in Mobile, Alabama, licensed in Alabama (1-169948) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730806498

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISS NICOLE KOTVAL RUSSELL ICredential: RN

Location Address124 S UNIVERSITY BLVD STE AMobile, AL 36608-3078

Mailing Address1201 Aberdeen Ct SMobile, AL 36609-3303 · (225) 205-5215

Phone(513) 435-0042

Sole ProprietorYes

Enumeration DateOctober 24, 2022

Last NPPES UpdateJune 22, 20262 updates tracked since enumeration

NPPES CertifiedJune 22, 2026

✔ NPI 1730806498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in AL · 1-169948

124 S UNIVERSITY BLVD STE A, Mobile, AL 36608

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Nicole Kotval Russell I Rn 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 36608 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

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Other Providers at the Same Location NPPES 18

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

DR. JESSE MICHAEL CORBELLO M.D.

Internal Medicine (Nephrology)