Individual provider Active NPI

Rana Wynne Russell, FNP

  • Family Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1245333046
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-01788 Issued in NM
Practice address
3450 Zafarano Dr Unit C
Santa Fe, NM 87507-2669
Phone
(505) 466-5885
Fax
(505) 466-5886
NPI assigned
Sep 7, 2006
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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 CNP-01788 NM Primary

Addresses

Primary practice location

3450 Zafarano Dr Unit C
Santa Fe, NM 87507-2669

Mailing address

72 Irish Rd
Ranchos de Taos, NM 87557-8753
Phone (830) 660-2888

Other identifiers 2

IdentifierTypeStateIssuer
8N3798OtherBLUE CROSS/BLUE SHIELD
147912305MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20130812000045 NM Practitioner - Nurse Practitioner 2668469230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newmexidoc PAGroup PAC ID 6204150659, 13 clinicians

Practice addresses (Care Compare)

831 S Saint Francis Dr
Railyard Urgent Care
Santa Fe, NM 87505-3027
Phone (505) 501-7791

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newmexidoc, PA. CurrentSince Nov 1, 2021 Accepting new patients
Truecare LLC PastSince Jan 1, 2016 Accepting new patients
CC Healthcare Systems, LLC PastSince Nov 1, 2009 Accepting new patients

Locations

831 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 501-7791

Organizations & group practices 3

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 1

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1245333046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 IRISH RD",
            "city": "RANCHOS DE TAOS",
            "state": "NM",
            "postal_code": "875578753",
            "telephone_number": "830-660-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 ZAFARANO DR UNIT C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875072669",
            "telephone_number": "505-466-5885",
            "fax_number": "505-466-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "RANA",
        "middle_name": "WYNNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-01788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "8N3798",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147912305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.