Individual provider Active NPI

Iyaku Terrell-Russ, FNP-C

  • Family Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1285968461
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7470-33 Issued in WI
Practice address
6825 W Brown Deer Rd Unit 241986
Milwaukee, WI 53224-6093
Phone
(414) 699-9034
NPI assigned
Sep 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 165570-30 WI
Family Nurse Practitioner 363LF0000X 7470-33 WI Primary

Addresses

Primary practice location

6825 W Brown Deer Rd Unit 241986
Milwaukee, WI 53224-6093

Mailing address

6825 W Brown Deer Rd Unit 241986
Milwaukee, WI 53224-6093
Phone (414) 699-9034

Other practice location 1

4687 N 68th St
Milwaukee, WI 53218-4825
Phone (414) 699-9034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20171023001392 WI Practitioner - Nurse Practitioner 6507143898 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
165570-30WIMDRegistered Nurse
7470-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Medical SC CurrentSince Mar 15, 2020 Accepting new patients
Voyage Elites Non-Emergency Medical Transport (Van) CurrentSince Jul 22, 2025 Accepting new patients
Spring Care Adult Family Home Current Accepting new patients

Locations

6825 W Brown Deer Rd
Unit 241986
Milwaukee, WI 53224
Phone (414) 699-9034

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

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.

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1285968461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 W BROWN DEER RD UNIT 241986",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532246093",
            "telephone_number": "414-699-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 W BROWN DEER RD UNIT 241986",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532246093",
            "telephone_number": "414-699-9034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4687 N 68th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532184825",
            "country_code": "US",
            "telephone_number": "414-699-9034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRELL-RUSS",
        "first_name": "IYAKU",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "165570-30",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7470-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.