Individual provider Active NPI

Tracy Owen Russell, D.C.

  • Chiropractor
  • Bartlesville, OK
National Provider Identifier
1316010572
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3166 Issued in OK
Practice address
2523 SE Washington Blvd.
Bartlesville, OK 74006-8338
Phone
(918) 333-3363
Fax
(918) 333-5539
NPI assigned
Nov 16, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3166 OK Primary

Addresses

Primary practice location

2523 SE Washington Blvd.
Bartlesville, OK 74006-8338

Mailing address

2523 SE Washington Blvd.
Bartlesville, OK 74006-8338
Phone (918) 333-3363

Other identifiers 1

IdentifierTypeStateIssuer
DF3888OtherOKPALMETTO#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110930000428 OK Practitioner - Chiropractic 3072667690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2523 SE Washington Blvd
Bartlesville, OK 74006-7613
Phone (918) 333-3363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3166OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Semcresac PLLC Chiropractor CurrentSince Jul 15, 2011 Accepting new patients
Russell Wellness Clinic Chiropractor PastSince Feb 1, 2009 Accepting new patients

Locations

2523 SE Washington Blvd
Bartlesville, OK 74006
Phone (918) 333-3363

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1316010572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 SE WASHINGTON BLVD.",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740068338",
            "telephone_number": "918-333-3363",
            "fax_number": "918-333-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 SE WASHINGTON BLVD.",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740068338",
            "telephone_number": "918-333-3363",
            "fax_number": "918-333-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "TRACY",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2026-09-29",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO#",
            "identifier": "DF3888",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.