Colleen K. Russell, C.N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0033973 Issued in OH

Practice address

29099 Health Campus Drive
Suite 280
Westlake, OH 44145-4414

Phone

(216) 293-0282

Fax

(440) 455-9757

NPI assigned

Oct 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Westlake America Clinic LLCGroup PAC ID 9830523414, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crussell46086@ehrdirect.uhhospitals.org

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.

• Westlake America Clinic LLC

  • Psychiatry Physician
  • Westlake, OH
  • NPI 1033752852
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1053192104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29099 HEALTH CAMPUS DRIVE",
            "address_2": "SUITE 280",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455200",
            "telephone_number": "216-293-0282",
            "fax_number": "440-455-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29099 HEALTH CAMPUS DRIVE",
            "address_2": "SUITE 280",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454414",
            "telephone_number": "216-293-0282",
            "fax_number": "440-455-9757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26777 Lorain Rd",
            "address_purpose": "LOCATION",
            "city": "North Olmsted",
            "state": "OH",
            "postal_code": "440703200",
            "country_code": "US",
            "telephone_number": "216-801-4656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "COLLEEN",
        "middle_name": "K.",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0033973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO ELICENSURE OHIO PROFESSIONAL LICENSURE/ANCC",
            "identifier": "APRN.CNP.0033973",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO ELICENSURE OHIO PROFESSIONAL LICENSURE",
            "identifier": "RN.436667",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chaity Roy, AA
• Santina Royal
• George W Rozakis, MD
• Anthony J Rozzo, D.O.
• Lisa M Ruman, LISW
• Jessica L Russell, OTR/L
• Alessia Russo, MS,RD,LD
• Lori A Rusterholtz, MD
• Sarah Jane Rutigliano, RBT
• Stacy Ryan

• Psychiatric/Mental Health Nurse Practitioner in Westlake, OH
• Providers in Westlake, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.