Individual provider Active NPI

Jodi Hardy Russell, FNP

  • Family Nurse Practitioner
  • Batesville, MS
National Provider Identifier
1144416504
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R861526 Issued in MS
Practice address
107 Eureka St
Batesville, MS 38606-2533
Phone
(662) 563-6000
Fax
(662) 563-0700
NPI assigned
Sep 19, 2007
Last updated
Aug 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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 R861526 MS Primary

Addresses

Primary practice location

107 Eureka St
Batesville, MS 38606-2533

Mailing address

107 Eureka St
Batesville, MS 38606-2533
Phone (662) 563-6000

Other identifiers 2

IdentifierTypeStateIssuer
03428243MedicaidMS
512I500356OtherMSPROVIDER TRANSACTION ACCESS NUMBER/PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20080618000514 MS Practitioner - Nurse Practitioner 2062583024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

303 Medical Ctr Dr
Batesville, MS 38606-8608
Phone (662) 578-4357

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.87 of 100Reported as group
Quality
60.45
Promoting interoperability
77
Improvement activities
40
Cost
68.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R861526MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Apr 15, 2021 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Apr 15, 2021 Accepting new patients
Panola Physician Group, LLC CurrentSince Mar 1, 2019 Accepting new patients
Strategic Solutions-Panola Medical Center LLC Current Accepting new patients
Panola Physician Group, LLC CurrentSince Mar 1, 2019 Accepting new patients

Locations

155 Keating Rd
Batesville, MS 38606
Phone (601) 978-3366

255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163

255 Medical Center Dr
Ste A
Batesville, MS 38606
Phone (662) 234-9888

303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155

Organizations & group practices 5

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 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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1144416504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 EUREKA ST",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062533",
            "telephone_number": "662-563-6000",
            "fax_number": "662-563-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 EUREKA ST",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062533",
            "telephone_number": "662-563-6000",
            "fax_number": "662-563-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JODI",
        "middle_name": "HARDY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R861526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03428243",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TRANSACTION ACCESS NUMBER/PTAN",
            "identifier": "512I500356",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, MS

Sources for this page

Verify at the official NPI Registry.