Individual provider Active NPI

Jillian E Russell

  • Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1104287457
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP3414572 Issued in FL
Practice address
2415 SE 17TH St
Ocala, FL 34471-2618
Phone
(352) 732-5365
Fax
(352) 690-6607
NPI assigned
Mar 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP3414572 FL Primary

Addresses

Primary practice location

2415 SE 17TH St
Ocala, FL 34471-2618

Mailing address

2415 SE 17TH St
Ocala, FL 34471-2618
Phone (352) 732-5365

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JILLIAN.RUSSELL@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20170103000136 FL Practitioner - Nurse Practitioner 5294016424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Lung and Critical Care Assocates IncGroup PAC ID 4587651492, 19 clinicians

Practice addresses (Care Compare)

1834 SW 1St Ave
Suite 101
Ocala, FL 34471-8101
Phone (352) 732-5552

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP3414572FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Intensivist Group LLC CurrentSince Apr 1, 2022 Accepting new patients
Ocala Lung & Critical Care Assocates Inc CurrentSince Oct 1, 2018 Accepting new patients

Locations

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

1834 SW 1st Ave
Ste 101
Ocala, FL 34471
Phone 3527325552312

4600 SW 46th Ct
Ste 340
Ocala, FL 34474
Phone (352) 291-0239

4600 SW 46th Ct
Ste 250
Ocala, FL 34474
Phone (352) 291-2400

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

Interoperability endpoints

  • Direct secure messaging: olcc.jillianrussell@154056.advancedmd-direct.com
  • Direct secure messaging: jillian.russell@hca5.eclinicaldirectplus.com
  • Direct secure messaging: jrussell567396@direct.shands.ufl.edu
  • Direct secure messaging: jillian.russell.1@29408.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1104287457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712618",
            "telephone_number": "352-732-5365",
            "fax_number": "352-690-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712618",
            "telephone_number": "352-732-5365",
            "fax_number": "352-690-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JILLIAN",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3414572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JILLIAN.RUSSELL@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2415 SE 17th St",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344712618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.