Lisa Russell, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP024940 Issued in PA

Practice address

26 Nesbitt Rd Ste 253
New Castle, PA 16105-3414

Phone

(724) 652-2323

Fax

(724) 654-3461

NPI assigned

Nov 25, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psych-Med Associates, IncGroup PAC ID 4486691052, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Psych-Med Associates Inc

  • Psychiatry Physician
  • New Castle, PA
  • NPI 1275744088
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1637798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1093472953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 NESBITT RD STE 253",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161053414",
            "telephone_number": "724-652-2323",
            "fax_number": "724-654-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 NESBITT RD STE 253",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161053414",
            "telephone_number": "724-652-2323",
            "fax_number": "724-654-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "LISA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP024940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP LICENSE",
            "identifier": "SP024940",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Eugene Ross, DMD
• Kathleen Ann Ross, RNBC
• Kimberly Rotunna, RN
• Kathleen Marie Rozzi, MA CCC SLP
• James F Rupp, D.P.M.
• John P Russo, PHARMACIST
• Ryan P. Nebel, D.M.D. LLC
• Judith M Ryan, RN
• Robin Elaine Rzodkiewicz, SLP
• Kristin N Saari, LPC

• Psychiatric/Mental Health Nurse Practitioner in New Castle, PA
• Providers in New Castle, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.