Individual provider Active NPI

Sarah Ann Russell, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Washington, MO
National Provider Identifier
1417623828
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
2021042417 Issued in MO
Practice address
851 E 5TH St Ste 208
Washington, MO 63090-3129
Phone
(636) 239-8097
Fax
(636) 390-7308
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2021042417 MO Primary

Addresses

Primary practice location

851 E 5TH St Ste 208
Washington, MO 63090-3129

Mailing address

98 Russell Rd
Lonedell, MO 63060-1521
Phone (314) 807-2753

Other practice location 1

15945 Clayton Rd Ste 220
Ballwin, MO 63011-2491
Phone (636) 239-8097

Other practice location 2

1165A E Cherry St
Troy, MO 63379-1520
Phone (636) 239-8097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20211109001901 MO Practitioner - Nurse Practitioner 3375932551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Pain Management LLCGroup PAC ID 5890922066, 24 clinicians
Mercy Clinic Adult Critical Care LLCGroup PAC ID 3779512041, 59 clinicians

Practice addresses (Care Compare)

15425 Manchester Rd
Suite 28
Ballwin, MO 63011-3077
Phone (636) 220-6969

851 E 5TH St
208 Mercy Pain Management Washington
Washington, MO 63090-3129
Phone (636) 239-8097

901 E 5TH St
Washington, MO 63090-3127
Phone (314) 251-6486

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Pain Management, LLC CurrentSince Oct 26, 2025 Accepting new patients
Mercy Clinic Adult Critical Care, LLC CurrentSince Nov 14, 2021 Accepting new patients

Locations

15945 Clayton Rd
Ste 220CLAY
Ballwin, MO 63011
Phone (636) 239-8097

15945 Clayton Rd
Ste 220
Ballwin, MO 63011
Phone (314) 487-9300

1165 E Cherry St
#A
Troy, MO 63379
Phone (636) 352-4628

1165A E Cherry St
Troy, MO 63379
Phone (636) 239-8097

851 E 5th St
Ste 208
Washington, MO 63090
Phone (636) 239-7500

851 E 5th St
Ste 226
Washington, MO 63090
Phone (636) 239-8097

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

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.

Hospital & facility affiliations 2

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1417623828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 RUSSELL RD",
            "city": "LONEDELL",
            "state": "MO",
            "postal_code": "630601521",
            "telephone_number": "314-807-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E 5TH ST STE 208",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903129",
            "telephone_number": "636-239-8097",
            "fax_number": "636-390-7308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15945 Clayton Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Ballwin",
            "state": "MO",
            "postal_code": "630112491",
            "country_code": "US",
            "telephone_number": "636-239-8097",
            "fax_number": "636-390-7308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1165A E Cherry St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MO",
            "postal_code": "633791520",
            "country_code": "US",
            "telephone_number": "636-239-8097",
            "fax_number": "636-390-7308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2021042417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

Verify at the official NPI Registry.