MS. KATHLEEN RUSSO ARNP
NPI 1790784932
Nurse Practitioner - Family in Englewood, FL

Q: What is Kathleen Russo's NPI number?

The NPI number for Kathleen Russo is 1790784932. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Q: What is Kathleen Russo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathleen Russo was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment

700 MEDICAL BLVD, ENGLEWOOD, FL 34223(941) 475-6571 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2018, Mar 17, 2018 (2 updates tracked since 2018).

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About Ms. Kathleen Russo Arnp NPPES

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

MS. KATHLEEN RUSSO ARNP (NPI 1790784932) is an individual family provider in Englewood, Florida, licensed in Florida (ARNP2918432) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Central Carolina Hospital, and maintains a secondary practice location in Englewood.

NPPES Registry Identity

NPI1790784932

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. KATHLEEN RUSSOCredential: ARNP

Location Address700 MEDICAL BLVDEnglewood, FL 34223-3964

Mailing AddressPo Box 3492Placida, FL 33946-3492 · (941) 698-0703

Phone(941) 475-6571

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJuly 19, 2005

Last NPPES UpdateApril 17, 20182 updates tracked since enumeration

✔ NPI 1790784932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · ARNP2918432

Also ListedNurse PractitionerTaxonomy 363L00000X · License ARNP2918432 (FL)

700 MEDICAL BLVD, Englewood, FL 34223

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Secondary Practice Location 1

Location 12061 Englewood Rd Ste 5Englewood, FL 34223-1749 · Phone (941) 473-8881 · Fax (941) 475-0801

Other Identifiers 1

Medicaid019998700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Premera Blue Cross Blue Shield of Alaska and more.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

Ms. Kathleen Russo Arnp 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 ID1355301706

PECOS Enrollment IDI20250401003661

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.

Central Carolina Hospital

Acute Care Hospitals · Sanford, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340020

Location1135 Carthage StSanford, NC 27330 · Lee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34223 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$21.30 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$119.41 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CRESTSIDE EMERGENCY PHYSICIANS, LLC

Emergency Medicine