Individual provider Active NPI

Russell W Jones

  • Family Nurse Practitioner
  • Big Spring, TX
National Provider Identifier
1083702948
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30005605 Issued in WA
Practice address
1300 S Gregg St
Suite a
Big Spring, TX 79720-4325
Phone
(432) 264-0414
Fax
(432) 264-9541
NPI assigned
Oct 10, 2006
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30005605 WA Primary

Addresses

Primary practice location

1300 S Gregg St
Suite a
Big Spring, TX 79720-4325

Mailing address

1017 W Broadway Ave
Moses Lake, WA 98837-2604
Phone (509) 765-1602

Other identifiers 2

IdentifierTypeStateIssuer
161319203MedicaidTX
8N8276OtherTXBLUE CROSS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rjones@omhc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050122000029 TX Practitioner - Nurse Practitioner 8921057415 Reassigns benefits to 4 organizations
I20170822000943 WA Practitioner - Nurse Practitioner 8921057415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Garfield County Memorial Hospital DistrictGroup PAC ID 2668360769, shared by 3 NPIs, 9 clinicians

Practice addresses (Care Compare)

446 Pataha St
Pomeroy, WA 99347-8634
Phone (509) 843-1591

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Garfield County Memorial Hospital District CurrentSince Aug 1, 2025 Accepting new patients
Garfield County Memorial Hospital District CurrentSince Aug 1, 2025 Accepting new patients
Small Hospital Innovations LLC CurrentSince Oct 1, 2023 Accepting new patients
Garfield County Memorial Hospital District CurrentSince Aug 1, 2025 Accepting new patients
Maverick Emergency Medicine Associates PA CurrentSince Apr 4, 2015 Accepting new patients
Odessa Physician Associates, PLLC CurrentSince Jun 7, 2012 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Mar 12, 2024 Accepting new patients
Lincoln County Public Hospital District 1 Past Accepting new patients
Alpine Cardiovascular Imaging, L.L.C. Past Accepting new patients
Big Spring Medical Mall, L.L.C. Family Past Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Acs Primary Care Physicians Southwest, PA Family Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
R & R Emergency Service, Inc. Family Past Accepting new patients
Texas Em-I Medical Services, P.a. Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852
Phone (830) 733-5321

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

446 Pataha St
Pomeroy, WA 99347
Phone (503) 843-1491

66 N 6th St
Pomeroy, WA 99347
Phone (509) 843-1491

Interoperability endpoints

  • Direct secure messaging: rjones@omhc.cernerdirect.com
  • Direct secure messaging: russell.jones.1@17388.direct.athenahealth.com

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1083702948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 W BROADWAY AVE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372604",
            "telephone_number": "509-765-1602",
            "fax_number": "509-766-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S GREGG ST",
            "address_2": "SUITE A",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204325",
            "telephone_number": "432-264-0414",
            "fax_number": "432-264-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "RUSSELL",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30005605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161319203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8N8276",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rjones@omhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Odessa Memorial Healthcare Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "502 E Amende Dr",
            "city": "Odessa",
            "state": "WA",
            "country_code": "US",
            "postal_code": "991597003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.