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PHYLLIS JUNE RUSSO MSN, ARNP, GCNS-BC
NPI 1932108586
Nurse Practitioner - Gerontology in Bonita Springs, FL

Active since July 16, 2005PECOS EnrolledAccepts Medicare Assignment
3368 WOODS EDGE CIR, SUITE 104, BONITA SPRINGS, FL 34134(239) 495-5315(239) 596-1709 Get Directions Write a Review

NPPES record last updated: December 9, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phyllis June Russo Msn, Arnp, Gcns-bc NPPES

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

PHYLLIS JUNE RUSSO MSN, ARNP, GCNS-BC (NPI 1932108586) is an individual gerontology provider in Bonita Springs, Florida, licensed in Florida (ARNP 2128402) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1932108586
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NamePHYLLIS JUNE RUSSOCredential: MSN, ARNP, GCNS-BC
Location Address3368 WOODS EDGE CIR, SUITE 104Bonita Springs, FL 34134-3437
Mailing Address2675 Creek Ln, # 202Naples, FL 34119-7992 · (239) 860-7587
Phone(239) 495-5315
Fax(239) 596-1709
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 16, 2005
Last NPPES UpdateDecember 9, 2009
✔ NPI 1932108586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · ARNP 2128402
Also ListedClinical Nurse Specialist · GerontologyTaxonomy 364SG0600X · License 0134457-18 (CT)
3368 WOODS EDGE CIR, Bonita Springs, FL 34134
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedY5060FL
Medicare UPINPO5266FL

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

Phyllis June Russo Msn, Arnp, Gcns-bc 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 ID3173598240
PECOS Enrollment IDI20040901000182
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.

Areas of Expertise CMS Part B claims 2

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.

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
128 services122 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
67 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34134 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOTAL SENIOR HEALTH CARE MOBILE PHYSICIAN SERVICES LLC
Internal Medicine (Geriatric Medicine)
3368 WOODS EDGE CIR, SUITE 104
BONITA SPRINGS, FL 34134
Lee County (239) 390-2032
PAULA SANDOVAL OTR,L
Occupational Therapist
3368 WOODS EDGE CIR
BONITA SPRINGS, FL 34134
Lee County (239) 390-2032

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 Phyllis Russo's NPI number?

The NPI number for Phyllis Russo is 1932108586. It was assigned to this individual provider in the NPPES registry on July 16, 2005.

Where is Phyllis Russo located?

Phyllis Russo practices at 3368 Woods Edge Cir Suite 104, Bonita Springs, FL 34134. The listed phone number is (239) 495-5315.

What is Phyllis Russo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Phyllis Russo enrolled in Medicare?

Yes. Phyllis 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.

When was this NPI record last updated?

The NPPES record for Phyllis Russo was last updated on December 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.