Active NPI
Stephanie Christina Russell, CNP
- Family Nurse Practitioner
- Beachwood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.024611
- Practice address
- 3909 Orange PL Ste 2100
Beachwood, OH 44122-8400 - Phone
- (216) 896-1800
- NPI assigned
- Jul 10, 2019
- Sex
- Female
- Sole proprietor
- No
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 | APRN.CNP.024611 | OH | Primary |
Addresses
Primary practice location
3909 Orange PL Ste 2100
Beachwood, OH 44122-8400
Mailing address
7404 Cherry Hill LN
Broadview Heights, OH 44147-3113
Phone (440) 320-8668
Other practice location 1
34970 Detroit Rd Unit 106
Avon, OH 44011-2653
Phone (440) 250-0822
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stephanieflynn@uhps.allscriptsdirect.net | ||
| Direct Messaging Address | stephanieflynn@uhps.allscriptsdirect.net | ||
| Direct Messaging Address | stephanieflynn@uhps.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433
Hospital & facility affiliations
- Cleveland Clinic
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.024611 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emh Regional Medical Center | Nurse Practitioner | Current | Accepting new patients |
| Emh Regional Medical Center | Current | Accepting new patients | |
| Wooster Clinic, LLC | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Vitality Health LLC | Current | Accepting new patients |
Locations
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
11100 Euclid Ave
Cleveland Heights, OH 44106
630 E River St
Elyria, OH 44035
Phone (440) 329-7450
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
2211 Crocker Rd
Ste 170
Westlake, OH 44145
Phone (216) 360-9480
1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- General Acute Care Hospital
- Elyria, OH
- NPI 1841299039
-
- Multi-Specialty Clinic/Center
- Wooster, OH
- NPI 1033135009
-
- Nurse Practitioner
- Elyria, OH
- NPI 1629422480
-
- Health Service Clinic/Center
- Westlake, OH
- NPI 1184283962
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1295387231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7404 CHERRY HILL LN",
"city": "BROADVIEW HEIGHTS",
"state": "OH",
"postal_code": "441473113",
"telephone_number": "440-320-8668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 ORANGE PL STE 2100",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441228400",
"telephone_number": "216-896-1800"
}
],
"practiceLocations": [
{
"address_1": "34970 Detroit Rd Unit 106",
"address_purpose": "LOCATION",
"city": "Avon",
"state": "OH",
"postal_code": "440112653",
"country_code": "US",
"telephone_number": "440-250-0822",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSELL",
"first_name": "STEPHANIE",
"middle_name": "CHRISTINA",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-10",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.024611",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stephanieflynn@uhps.allscriptsdirect.net",
"affiliation": "N",
"address_1": "11100 Euclid Ave",
"city": "Cleveland",
"state": "OH",
"country_code": "US",
"postal_code": "441061716",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stephanieflynn@uhps.allscriptsdirect.net",
"affiliation": "N",
"address_1": "3909 Orange Pl Ste 2100",
"city": "Beachwood",
"state": "OH",
"country_code": "US",
"postal_code": "441228400",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stephanieflynn@uhps.allscriptsdirect.net",
"affiliation": "N",
"address_1": "3909 Orange Pl Ste 2100",
"city": "Beachwood",
"state": "OH",
"country_code": "US",
"postal_code": "441228400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.