Individual provider Active NPI

Janie Caddis Russell, FNP

  • Family Nurse Practitioner
  • Sharon Springs, NY
National Provider Identifier
1144411026
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F332820-1 Issued in NY
Practice address
591-1 State Hwy 20
Sharon Springs, NY 13459
Phone
(518) 284-2223
Fax
(518) 284-8449
NPI assigned
Aug 6, 2007
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 33280 NY
Family Nurse Practitioner 363LF0000X F332820-1 NY Primary

Addresses

Primary practice location

591-1 State Hwy 20
Sharon Springs, NY 13459

Mailing address

591-1 State Hwy 20
Sharon Springs, NY 13459
Phone (518) 284-2223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 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
I20140729001760 TX Practitioner - Nurse Practitioner 5890738116 Reassigns benefits to 1 organization
I20230628003078 NY Practitioner - Nurse Practitioner 5890738116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

Practice addresses (Care Compare)

136 Pkwy Dr
Cobleskill, NY 12043-5150
Phone (518) 234-2555

178 Grandview Dr
Cobleskill, NY 12043-5144
Phone (518) 254-3456

591 Hwy Route 20
Sharon Springs, NY 13459-3101
Phone (518) 284-2357

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33280NYMDFamily Nurse Practitioner
F332820-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Nov 10, 2024 Accepting new patients
Bequillard & Bequillard LLC CurrentSince Apr 27, 2014 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Nov 10, 2024 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Jul 10, 2023 Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

600 Cut Off Rd
Ste 14
Port Aransas, TX 78373
Phone (361) 749-1930

Interoperability endpoints

  • Direct secure messaging: jrussell561909@bassett.direct-ci.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1144411026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591-1 STATE HWY 20",
            "city": "SHARON SPRINGS",
            "state": "NY",
            "postal_code": "13459",
            "telephone_number": "518-284-2223",
            "fax_number": "518-284-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591-1 STATE HWY 20",
            "city": "SHARON SPRINGS",
            "state": "NY",
            "postal_code": "13459",
            "telephone_number": "518-284-2223",
            "fax_number": "518-284-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JANIE",
        "middle_name": "CADDIS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "33280",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F332820-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon Springs, NY

Sources for this page

Verify at the official NPI Registry.