Active NPI
Patricia Lynn Russell, ARNP
- Family Nurse Practitioner
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A-102064
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457304446 | Medicaid | IA | |
| P01016712 | Other | IA | RR MEDICARE |
| 1457304446 | Other | IA | WELLMARK 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
Enrollment records 1
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
Practice addresses (Care Compare)
1401 50TH St
Suite 100
West Des Moines, IA 50266-5924
Phone (515) 225-7132
Hospital & facility affiliations
- Suncrest Hospice, LLC
- Knoxville Hospital & Clinics
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-102064 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Geriatric Services 2 LLC | Current | Accepting new patients | |
| Provider Partners Care Management LP | Current | 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.
-
- Geriatric Medicine (Family Medicine) Physician
- West Des Moines, IA
- NPI 1174933998
-
- Geriatric Medicine (Family Medicine) Physician
- West Des Moines, IA
- NPI 1629861679
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Knoxville, IA
- NPI 1922087915
-
- Medicare Defined Swing Bed Hospital Unit
- Knoxville, IA
- NPI 1952319840
-
- Community Based Hospice Care Agency
- West Des Moines, IA
- NPI 1417350265
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.