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

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: October 18, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Russell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nephrology Associates Of Mobile, P.A.
0.6 mi
Specialist
124 S UNIVERSITY BLVD STE A
Mobile, AL 36608
  • Reassigned Medicare billing, Alabama enrollment
  • 40 clinicians in this Medicare group
NPI 1861477507 (251) 343-5004

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Other Providers at the Same Location NPPES 17

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)
124 S UNIVERSITY BLVD STE A
MOBILE, AL 36608
Mobile County (251) 343-5004
RYAN TULOWITZKI DO
Internal Medicine (Nephrology)
124 S UNIVERSITY BLVD STE A
MOBILE, AL 36608
Mobile County (251) 343-5004
JAMES COLLIER III
Nurse Practitioner (Acute Care)
124 S UNIVERSITY BLVD STE A
MOBILE, AL 36608
Mobile County (251) 343-5004
DR. ELIZABETH ANDERSON BURKETT MD
Internal Medicine (Nephrology)
124 S UNIVERSITY BLVD STE A
MOBILE, AL 36608
Mobile County (251) 343-5004
WESLEY GOWERS NP
Nurse Practitioner (Family)
124 S UNIVERSITY BLVD STE A
MOBILE, AL 36608
Mobile County (251) 343-5004
ASHLEY EMMONS NP
Nurse Practitioner (Family)
124 S UNIVERSITY BLVD STE A
MOBILE, AL 36608
Mobile County (251) 343-5004
MINDY E CHILDS FNP-C
Nurse Practitioner (Family)
124 S UNIVERSITY BLVD STE A
MOBILE, AL 36608
Mobile County (251) 343-5004
FLORA PATRICE JONES AGACNP
Nurse Practitioner (Gerontology)
124 S UNIVERSITY BLVD STE A
MOBILE, AL 36608
Mobile County (251) 343-5004

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 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.

Where is Nicole Russell located?

Nicole Russell practices at 124 S University Blvd Ste A, Mobile, AL 36608. The listed phone number is (513) 435-0042.

What is Nicole Russell's specialty?

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

Is Nicole Russell enrolled in Medicare?

Yes. Nicole Russell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Russell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Russell reassigns Medicare benefits to Nephrology Associates Of Mobile, P.A. (Mobile, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Russell accept?

Health plans from UnitedHealthcare list Nicole Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 4 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.