MARY THERESA RUSSELL NP
NPI 1770590374
Nurse Practitioner - Adult Health in Indianapolis, IN
About Mary Theresa Russell Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY THERESA RUSSELL NP (NPI 1770590374) is an individual adult health provider in Indianapolis, Indiana, licensed in Indiana (71002193A) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Theresa Russell Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Mary Russell reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46237
- Reassigned Medicare billing, Indiana enrollment
- 1,396 clinicians in this Medicare group
Carmel, IN 46032
- Reassigned Medicare billing, Indiana enrollment
- 2 clinicians in this Medicare group
Gary, IN 46404
- Reassigned Medicare billing, Indiana enrollment
- 85 clinicians in this Medicare group
Culpeper, VA 22701
- Reassigned Medicare billing, Virginia enrollment
- 1,294 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mary Russell's NPI number?
The NPI number for Mary Russell is 1770590374. It was assigned to this individual provider in the NPPES registry on August 3, 2006. The provider is also known as Mary Theresa Rojowski Np.
Where is Mary Russell located?
Mary Russell practices at 3834 S Emerson Ave Ste 100, Indianapolis, IN 46203. The listed phone number is (317) 782-1577.
What is Mary Russell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Mary Russell enrolled in Medicare?
Yes. Mary Russell is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mary Russell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Russell reassigns Medicare benefits to 4 organizations: Franciscan Physician Network (Indianapolis, IN), (Carmel, IN), Altea Medical Indiana PC (Gary, IN) and Emergency Medicine Associates P.A., P.C. (Culpeper, VA). Each 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 Mary Russell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Russell accept?
Health plans from CareSource list Mary 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 Mary Russell was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Mary Theresa Russell, NP · NPI 1770590374
Adult Health physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1770590374 (Entity type: Individual)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 71002193A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3834 S EMERSON AVE STE 100, Indianapolis, IN 46203
- **Phone:** (317) 782-1577 · **Fax:** (317) 780-5549
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Franciscan Physician Network (NPI 1225327984, Indianapolis, IN); (NPI 1922009109, Carmel, IN); Altea Medical Indiana PC (NPI 1992584783, Gary, IN); Emergency Medicine Associates P.A., P.C. (NPI 1881559102, Culpeper, VA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2020
- **Other identifiers:** Medicaid 200492000 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1770590374) · Data from the CMS NPPES public registry.