Mary Russell, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

FNP 95000801 Issued in CA

Practice address

1519 Clifftop Ave
San Marcos, CA 92078-1075

Phone

(760) 522-3941

NPI assigned

Oct 22, 2014

Last updated

Oct 22, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mary.russellnp.p1@direct.arch.nextgenshare.com

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.

• Arch Health Partners, Inc

  dba Palomar Health Medical Group

  • Family Medicine Physician
  • Poway, CA
  • NPI 1649500141
  Medicare reassignment NPD
• Madi Med LLC

  • Cardiovascular Disease Physician
  • Escondido, CA
  • NPI 1861210767
  Medicare reassignment NPD
• Arch Health Partners

  dba Palomar Health Medical Group

  • Obstetrics & Gynecology Physician
  • Escondido, CA
  • NPI 1518217330
  NPD

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1265837025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 CLIFFTOP AVE",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781075",
            "telephone_number": "760-522-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 CLIFFTOP AVE",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781075",
            "telephone_number": "760-522-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "FNP  95000801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Marie Rubio, PA-C
• Joselynn Ruiz
• Michael Runge, PT, DPT
• Shaelyn Dehao Rusnak
• Marie Ann Russell, MD.
• Cameron Rutters, DPT
• Weston Ryan, PT, DPT
• S. Safarian DMD Inc (Irresistible Smiles)
• Shadi Saberi
• Afrooz Sabouri

• Family Nurse Practitioner in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.