Individual provider Active NPI

Julie K Russell, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1144535030
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71003322A Issued in IN
Practice address
4770 Covert Ave Ste 101
Evansville, IN 47714-5600
Phone
(812) 848-2322
NPI assigned
Aug 16, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71003322A IN Primary

Addresses

Primary practice location

4770 Covert Ave Ste 101
Evansville, IN 47714-5600

Mailing address

4770 Covert Ave Ste 101
Evansville, IN 47714-5600
Phone (812) 842-2322

Other practice location 1

4488 Roslin Rd
Newburgh, IN 47630-8590
Phone (812) 858-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20141120001862 IN Practitioner - Nurse Practitioner 3173745403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana Medical College, School of Medicine of Purdue University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Now Counseling Services LLCGroup PAC ID 3476817503, 5 clinicians

Practice addresses (Care Compare)

629 Ingle St
Evansville, IN 47708-1345
Phone (812) 602-4022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71003322AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brentwood Meadows Physician Group LLC Psychiatric/Mental Health CurrentSince Oct 15, 2014 Accepting new patients
Now Counseling Services, LLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

7934 Solution Ctr
Chicago, IL 60677

1010 S Weinbach Ave
Evansville, IN 47714
Phone (812) 602-4022

124 E Powell Ave
Evansville, IN 47713
Phone (812) 499-7950

2225 W Indiana St
Evansville, IN 47712
Phone (812) 602-4022

4488 Roslin Rd
Newburgh, IN 47630
Phone (812) 710-4038

308 S Oak St
Paoli, IN 47454
Phone (812) 203-2230

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144535030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 COVERT AVE STE 101",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477145600",
            "telephone_number": "812-842-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 COVERT AVE STE 101",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477145600",
            "telephone_number": "812-848-2322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4488 Roslin Rd",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308590",
            "country_code": "US",
            "telephone_number": "812-858-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JULIE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71003322A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.