Russell Martin Elms

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95019159 Issued in CA

Practice address

441 E Yosemite Ave
Madera, CA 93638-3604

Phone

(559) 664-4000

NPI assigned

Nov 23, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Camarena Health

  • Federally Qualified Health Center (FQHC)
  • Madera, CA
  • NPI 1891778114

  Family

  Medicare reassignment NPD
• Camarena Health

  • Federally Qualified Health Center (FQHC)
  • Los Banos, CA
  • NPI 1114757754
  NPD
• Community Foundation Medical Group

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1811258510
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1053078295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N I ST STE 104",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936373078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 E YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383604",
            "telephone_number": "559-664-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "726 N Medical Center Dr E Ste 205",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936116886",
            "country_code": "US",
            "telephone_number": "559-859-3536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7235 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202930",
            "country_code": "US",
            "telephone_number": "559-326-2125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4910 E Ashlan Ave Ste 116",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937263021",
            "country_code": "US",
            "telephone_number": "559-228-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELMS",
        "first_name": "RUSSELL",
        "middle_name": "MARTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-23",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Elizabeth Ebenezer, FNP-C
• Eddie Tapia DDS Inc.
• Racine Edwards-Silva, M.D.
• Steven T. Ehrreich, M.D.
• Aimee Elizarraras
• Ahmed E Elsayed, DDS
• Emergency Medicine Physician Partners of Madera County, Inc
• Emergency Medicine Physicians of Madera County, Inc.
• Emergency Physicians Medical Group, Inc
• Emq Families First

• Family Nurse Practitioner in Madera, CA
• Providers in Madera, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.