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CANDICE RUSSELL APN
NPI 1922856202
Nurse Practitioner - Psychiatric/Mental Health in Newark, NJ

Active since May 10, 2024PECOS EnrolledAccepts Medicare Assignment
201 LYONS AVE # H3, NEWARK, NJ 07112(973) 926-7000 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2026, May 10, 2024 (2 updates tracked since 2024).

About Candice Russell Apn NPPES

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

CANDICE RUSSELL APN (NPI 1922856202) is an individual psychiatric/mental health provider in Newark, New Jersey, licensed in New Jersey (26NJ15004300) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1922856202
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCANDICE RUSSELLCredential: APN
Location Address201 LYONS AVE # H3Newark, NJ 07112-2027
Mailing Address201 Lyons Ave # H3Newark, NJ 07112-2027
Phone(973) 926-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 10, 2024
Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1922856202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ15004300
201 LYONS AVE # H3, Newark, NJ 07112
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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 and accepts Medicare assignment

Candice Russell Apn 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 ID7214421452
PECOS Enrollment IDI20251215001888
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.

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07112 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 Candice Russell's NPI number?

The NPI number for Candice Russell is 1922856202. It was assigned to this individual provider in the NPPES registry on May 10, 2024.

Where is Candice Russell located?

Candice Russell practices at 201 Lyons Ave # H3, Newark, NJ 07112. The listed phone number is (973) 926-7000.

What is Candice Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Candice Russell enrolled in Medicare?

Yes. Candice 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.

Is Candice Russell affiliated with any hospitals?

According to CMS data, Candice Russell is affiliated with Newark Beth Israel Medical Center.

When was this NPI record last updated?

The NPPES record for Candice Russell was last updated on January 6, 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.