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ELIZABETH LOUISE RUSS AGACNP
NPI 1730995432
Nurse Practitioner - Acute Care in Petoskey, MI

Active since December 06, 2024PECOS EnrolledAccepts Medicare Assignment
416 CONNABLE AVE, PETOSKEY, MI 49770(800) 248-6777 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elizabeth Louise Russ Agacnp NPPES

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

ELIZABETH LOUISE RUSS AGACNP (NPI 1730995432) is an individual acute care provider in Petoskey, Michigan, licensed in Michigan (4704358971) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Mclaren Northern Michigan, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1730995432
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameELIZABETH LOUISE RUSSCredential: AGACNP
Location Address416 CONNABLE AVEPetoskey, MI 49770-2212
Mailing Address4397 Long Lake RdCheboygan, MI 49721-9277 · (231) 203-1973
Phone(800) 248-6777
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 6, 2024
NPPES CertifiedDecember 6, 2024
✔ NPI 1730995432 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 MI · 4704358971
416 CONNABLE AVE, Petoskey, MI 49770
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

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

Elizabeth Louise Russ Agacnp 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 ID5092243600
PECOS Enrollment IDI20250110000357
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.

Hospital Affiliations CMS Care Compare 5

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

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Chippewa County War Memorial Hospital

Acute Care Hospitals · Sault Sainte Marie, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230239
Location500 Osborn BlvdSault Sainte Marie, MI 49783 · Chippewa County
Emergency services Birthing friendly

Schoolcraft Memorial Hospital

Critical Access Hospitals · Manistique, MI
OwnershipGovernment - Local
CMS Certification Number231303
Location7870W Us Highway 2Manistique, MI 49854 · Schoolcraft County
Emergency services

Charlevoix Area Hospital

Critical Access Hospitals · Charlevoix, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231322
Location14700 Lakeshore DriveCharlevoix, MI 49720 · Charlevoix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49770 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

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.

KEELY MARIE BLOSH NP
Nurse Practitioner
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 487-4000
GARY H SHAW M.D.
Internal Medicine (Nephrology)
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 487-7303
BAY RADIATION ONCOLOGY, PLLC
Radiology (Radiation Oncology)
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 487-4209
DR. JANEAN HAGGINS-DABNEY M.D.
Internal Medicine
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 922-9270
MCLAREN NORTHERN MICHIGAN
Psychiatric Unit
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 487-4000
LYNDA BARTOSH RTRM, RPA
Radiology Practitioner Assistant
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 487-4000
NATALIA I RUSH MD PC
Pathology (Anatomic Pathology & Clinical Pathology)
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 487-4000
DR. MARK JAMES BIELACZYC M.D.
Anesthesiology
416 CONNABLE AVE
PETOSKEY, MI 49770
Emmet County (231) 348-2795

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 Elizabeth Russ's NPI number?

The NPI number for Elizabeth Russ is 1730995432. It was assigned to this individual provider in the NPPES registry on December 6, 2024.

Where is Elizabeth Russ located?

Elizabeth Russ practices at 416 Connable Ave, Petoskey, MI 49770. The listed phone number is (800) 248-6777.

What is Elizabeth Russ's specialty?

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

Is Elizabeth Russ enrolled in Medicare?

Yes. Elizabeth Russ 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.

What insurance does Elizabeth Russ accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Elizabeth Russ 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.

Is Elizabeth Russ affiliated with any hospitals?

According to CMS data, Elizabeth Russ is affiliated with Mclaren Northern Michigan, Mymichigan Medical Center Midland, Chippewa County War Memorial Hospital, Schoolcraft Memorial Hospital and Charlevoix Area Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Russ was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.