Individual provider Active NPI

Patricia Lynn Russell, ARNP

  • Family Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1265748826
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A-102064 Issued in IA
Practice address
6500 University Ave
Suite 100
Des Moines, IA 50324-1607
Phone
(515) 279-1959
Fax
(515) 289-0888
NPI assigned
Aug 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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 A-102064 IA Primary

Addresses

Primary practice location

6500 University Ave
Suite 100
Des Moines, IA 50324-1607

Mailing address

1501 50TH St Ste 110
West Des Moines, IA 50266-5940
Phone (515) 237-3974

Other identifiers 3

IdentifierTypeStateIssuer
1457304446MedicaidIA
P01016712OtherIARR MEDICARE
1457304446OtherIAWELLMARK BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20110211001012 IA Practitioner - Nurse Practitioner 1658551320 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Geriatric ServicesGroup PAC ID 4587887088, 36 clinicians

Practice addresses (Care Compare)

1401 50TH St
Suite 100
West Des Moines, IA 50266-5924
Phone (515) 225-7132

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-102064IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Geriatric Services 2 LLC CurrentSince Sep 1, 2025 Accepting new patients
Provider Partners Care Management LP CurrentSince Nov 1, 2025 Accepting new patients

Locations

13435 University Ave
Ste 500
Clive, IA 50325

1501 50th St
Ste 110
West Des Moines, IA 50266

1401 50th St
Ste 100
West Des Moines, IA 50266
Phone (515) 225-1845

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

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 and National Provider Directory roles.

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": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1265748826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 50TH ST STE 110",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665940",
            "telephone_number": "515-237-3974",
            "fax_number": "888-503-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 UNIVERSITY AVE",
            "address_2": "SUITE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503241607",
            "telephone_number": "515-279-1959",
            "fax_number": "515-289-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-102064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457304446",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01016712",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "1457304446",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.