LAUREN NICOLE RUSSO
NPI 1780435891
Nurse Practitioner - Family in Stony Brook, NY
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 and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lauren Nicole Russo 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.
Medicare Billing Reassignment
Medicare enrollment records show Lauren Russo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stony Brook, NY 11794
- Reassigned Medicare billing, New York enrollment
- 261 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.
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.
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.
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Lauren Russo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Russo reassigns Medicare benefits to Stony Brook Internists, University Faculty Practice Corporation (Stony Brook, NY). 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 Lauren Russo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 6 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.
# Lauren Nicole Russo · NPI 1780435891
Family physician in Stony Brook, New York. Individual provider, active in the CMS NPPES registry since March 27, 2024.
## Identity
- **NPI:** 1780435891 (Entity type: Individual)
- **Enumerated:** March 27, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 353391 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 NICHOLLS ROAD, Stony Brook, NY 11794-3226
- **Phone:** (631) 263-8240
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Stony Brook Internists, University Faculty Practice Corporation (NPI 1215976337, Stony Brook, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** April 2, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1780435891) · Data from the CMS NPPES public registry.