PORCHE RUSSELL APRN
NPI 1760192462
Nurse Practitioner - Family in Hallsville, TX

Active since December 02, 2022PECOS EnrolledAccepts Medicare Assignment
159 BELLE RIVA DR, HALLSVILLE, TX 75650(903) 930-1034 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Porche Russell Aprn NPPES

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

PORCHE RUSSELL APRN (NPI 1760192462) is an individual family provider in Hallsville, Texas, licensed in Texas (1099955) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and maintains a secondary practice location in Longview.

NPPES Registry Identity

NPI1760192462
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePORCHE RUSSELLCredential: APRN
Location Address159 BELLE RIVA DRHallsville, TX 75650-6133
Mailing Address159 Belle Riva DrHallsville, TX 75650-6133 · (903) 930-1034
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 2, 2022
Last NPPES UpdateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
NPI 1760192462 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 TX · 1099955
159 BELLE RIVA DR, Hallsville, TX 75650

Secondary Practice Location 1

Location 1703 E Marshall AveLongview, TX 75601-5500 · Phone (903) 315-2729

Accepted 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

Porche Russell Aprn 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 ID42746059
PECOS Enrollment IDI20241212003989
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

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

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450032
Location700 E Marshall AveLongview, TX 75601 · Gregg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75650 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Porche Russell's NPI number?

The NPI number for Porche Russell is 1760192462. It was assigned to this individual provider in the NPPES registry on December 2, 2022.

Where is Porche Russell located?

Porche Russell practices at 159 Belle Riva Dr, Hallsville, TX 75650. The listed phone number is (903) 930-1034.

What is Porche Russell's specialty?

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

Is Porche Russell enrolled in Medicare?

Yes. Porche Russell 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 Porche Russell accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Porche 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.

Is Porche Russell affiliated with any hospitals?

According to CMS data, Porche Russell is affiliated with Christus Good Shepherd Medical Center.

When was this NPI record last updated?

The NPPES record for Porche Russell was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.