Kelly Russell, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

Practice address

18 Imperial PL Unit 2D
Providence, RI 02903-4642

Phone

(401) 727-4800

Fax

(401) 921-4800

NPI assigned

Mar 16, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

University of Colorado School of Medicine, Denver, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Silver Spring Health Care Management IncGroup PAC ID 4688661127, 136 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South County Hospital Inc Hospital, Wakefield, RI, CCN 410008

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

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.

• Silver Spring Health Care Management, Inc.

  • Obstetrics & Gynecology Physician
  • Wakefield, RI
  • NPI 1245246115

  Advanced Practice Midwife, RI

  Medicare reassignment Care Compare group NPD
• Silver Spring Health Care Management, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wakefield, RI
  • NPI 1104871003
  Care Compare group NPD (past)
• Silver Spring Health Care Management, Inc

  • Surgery Physician
  • Wakefield, RI
  • NPI 1306034244
  Care Compare group
• Silver Spring Health Care Management, Inc

  • Cardiovascular Disease Physician
  • Wakefield, RI
  • NPI 1528152691
  Care Compare group
• Silver Spring Health Care Management, Inc

  • Radiation Oncology Physician
  • Wakefield, RI
  • NPI 1891317509
  Care Compare group
• Silver Spring Health Care Management, Inc.

  • Cardiovascular Disease Physician
  • Wakefield, RI
  • NPI 1285988790
  Care Compare group
• Silver Spring Health Care Management, Inc.

  • Pulmonary Disease Physician
  • Wakefield, RI
  • NPI 1295105294
  Care Compare group
• Silver Spring Health Care Management, Inc.

  • Family Medicine Physician
  • Narragansett, RI
  • NPI 1306365812
  Care Compare group
• Silver Spring Health Care Management, Inc.

  • Infectious Disease Physician
  • Narragansett, RI
  • NPI 1386905313
  Care Compare group
• Silver Spring Health Care Management, Inc.

  • Urology Physician
  • Wakefield, RI
  • NPI 1477052256
  Care Compare group
• Silver Spring Health Care Management, Inc.

  • Internal Medicine Physician
  • East Greenwich, RI
  • NPI 1568555183
  Care Compare group
• Silver Spring Health Care Management, Inc.

  • Surgery Physician
  • Wakefield, RI
  • NPI 1619157468
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South County Hospital Healthcare System

  • General Acute Care Hospital
  • Wakefield, RI
  • NPI 1952366106

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1154957652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DUDLEY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 IMPERIAL PL UNIT 2D",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034642",
            "telephone_number": "401-727-4800",
            "fax_number": "401-921-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Dudley St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029052401",
            "country_code": "US",
            "telephone_number": "401-274-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Toll Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862759",
            "country_code": "US",
            "telephone_number": "401-737-7010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krussell@wih.cernerdirect.carene.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "18 Imperial Pl Unit 2D",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029034642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krussell@direct.carene.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "101 Dudley St",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029052401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deja Rush
• Lori Rush
• Jack Rusley, MD
• Cecilia Russell, LCSW
• David Lee Russell Jr., LCDP
• Lauren Russell, PHARMD
• Lorna Beth Russell
• Trinity Russell
• Christopher J Russo, LICSW
• Melissa Lauren Russo, M.D.

• All providers in Providence, RI
• Advanced Practice Midwife in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.