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LAUREN NICOLE RUSSO
NPI 1780435891
Nurse Practitioner - Family in Stony Brook, NY

Active since March 27, 2024PECOS Enrolled
101 NICHOLLS ROAD, STONY BROOK, NY 11794(631) 263-8240 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2026, Dec 10, 2024 (2 updates tracked since 2024).

About Lauren Nicole Russo NPPES

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

LAUREN NICOLE RUSSO (NPI 1780435891) is an individual family provider in Stony Brook, New York, licensed in New York (353391) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780435891
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAUREN NICOLE RUSSO
Location Address101 NICHOLLS ROADStony Brook, NY 11794-3226
Mailing Address101 Nicholls RoadStony Brook, NY 11794-0001 · (631) 263-8240
Phone(631) 263-8240
Sole ProprietorNo
Enumeration DateMarch 27, 2024
Last NPPES UpdateApril 2, 20262 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1780435891 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 NY · 353391
101 NICHOLLS ROAD, Stony Brook, NY 11794
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Nicole Russo 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 11794 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

JOCASTA DIMITRA MARSHALL
Student in an Organized Health Care Education/Training Program
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 444-3880
DR. JODI RIGGS DNP, CPNP-PC
Nurse Practitioner (Pediatrics)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 444-7692
MISS JENNIFER LEE SOLAN NP
Nurse Practitioner (Acute Care)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 444-3575
ELIAS KU
Student in an Organized Health Care Education/Training Program
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 689-8333
KELLY ANNE VAN NESS
Nurse Practitioner (Family)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 444-4700
DR. NICHOLAS DANIEL KORKOSZ DO
Family Medicine
101 NICHOLLS ROAD, HSC LEVEL 3
STONY BROOK, NY 11794
Suffolk County (631) 444-5858
HATICE KURUCA FNP
Nurse Practitioner (Family)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 278-5308
DR. NEIL JITENDRA PATEL MD, MBA
Psychiatry & Neurology (Neurology)
101 NICHOLLS ROAD
STONY BROOK, NY 11794
Suffolk County (631) 444-2599

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 Lauren Russo's NPI number?

The NPI number for Lauren Russo is 1780435891. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Lauren Russo located?

Lauren Russo practices at 101 Nicholls Road, Stony Brook, NY 11794. The listed phone number is (631) 263-8240.

What is Lauren Russo's specialty?

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

Is Lauren Russo enrolled in Medicare?

Yes. Lauren Russo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lauren Russo was last updated on April 2, 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.