NPIMap

Individual provider Active NPI

Debra Mae Russell, ACNPC, CCRN-CSC

  • Acute Care Nurse Practitioner
  • West Monroe, LA
National Provider Identifier
1376831941
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP06548 Issued in LA
Practice address
102 Thomas Rd Ste 104
West Monroe, LA 71291-7365
Phone
(318) 329-8485
NPI assigned
Jul 18, 2011
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 55323 WY
Acute Care Nurse Practitioner 363LA2100X AP06548 LA Primary

Addresses

Primary practice location

102 Thomas Rd Ste 104
West Monroe, LA 71291-7365

Mailing address

102 Thomas Rd.
Ste 107
West Monroe, LA 71291
Phone (318) 329-8485

Other practice location 1

707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120113000457 LA Practitioner - Nurse Practitioner 9537336516 Reassigns benefits to 1 organization
I20241015001291 WY Practitioner - Nurse Practitioner 9537336516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Park Hospital DistrictGroup PAC ID 7315855624, 85 clinicians

Practice addresses (Care Compare)

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 503-6565

707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7501

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.56 of 100Reported as group
Quality
76.8
Improvement activities
40
Cost
74.38

Merit-based Incentive Payment System (MIPS)

Final score
80.79 of 100Reported as group
Quality
72.82
Promoting interoperability
100
Improvement activities
40
Cost
63.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55323WYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cody Regional Health EMS CurrentSince Oct 1, 2024 Accepting new patients
West Park Hospital District CurrentSince Oct 14, 2024 Accepting new patients
East Jefferson Physicians Group LLC CurrentSince Sep 1, 2025 Accepting new patients
West Park Hospital District CurrentSince Oct 1, 2024 Accepting new patients
Metairie Physician Services Inc. Nurse Practitioner Past Accepting new patients

Locations

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

1100 Poydras St
New Orleans, LA 70163
Phone (504) 527-9952

424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1376831941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 THOMAS RD.",
            "address_2": "STE 107",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "71291",
            "telephone_number": "318-329-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 THOMAS RD STE 104",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917365",
            "telephone_number": "318-329-8485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Sheridan Ave",
            "address_purpose": "LOCATION",
            "city": "Cody",
            "state": "WY",
            "postal_code": "824143409",
            "country_code": "US",
            "telephone_number": "307-527-7501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "DEBRA",
        "middle_name": "MAE",
        "credential": "ACNPC, CCRN-CSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WY",
            "license": "55323",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "AP06548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.