Individual provider Active NPI

Erin Russell

  • Adult Health Nurse Practitioner
  • Maplewood, MN
National Provider Identifier
1144103649
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
12920 Issued in MN
Practice address
1600 Saint Johns Blvd Ste 200
Maplewood, MN 55109-1190
Phone
(651) 326-4327
NPI assigned
Jul 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 12920 MN Primary

Addresses

Primary practice location

1600 Saint Johns Blvd Ste 200
Maplewood, MN 55109-1190

Mailing address

4491 W 131St St
Savage, MN 55378-1691
Phone (952) 715-0486

Other practice location 1

2651 Hillcrest Dr Ste 302
Hudson, WI 54016-9919
Phone (612) 365-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20251013002023 MN Practitioner - Nurse Practitioner 1951898162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healtheast Medical Research InstituteGroup PAC ID 3971407636, 665 clinicians

Practice addresses (Care Compare)

1600 Saint Johns Blvd
Suite 200
Maplewood, MN 55109-1190
Phone (651) 326-2328

Hospital & facility affiliations

  • M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210
  • M Health Fairview Woodwinds Hospital Hospital, Woodbury, MN, CCN 240213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Insititue CurrentSince Oct 17, 2025 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Express Care CurrentSince Oct 17, 2025 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Oct 17, 2025 Accepting new patients
Healtheast Medical Research Institute CurrentSince Oct 17, 2025 Accepting new patients
Healtheast Medical Research Institute Past Accepting new patients

Locations

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

1600 Saint Johns Blvd
Ste 200
Saint Paul, MN 55109
Phone (651) 326-4327

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

2651 Hillcrest Dr
Ste 302
Hudson, WI 54016
Phone (651) 241-5290

Interoperability endpoints

  • Direct secure messaging: erussell408583@fairview.direct-ci.com

Organizations & group practices 7

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 2

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": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1144103649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4491 W 131ST ST",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553781691",
            "telephone_number": "952-715-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SAINT JOHNS BLVD STE 200",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091190",
            "telephone_number": "651-326-4327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2651 Hillcrest Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540169919",
            "country_code": "US",
            "telephone_number": "612-365-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "12920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.