Individual provider Active NPI

Christy Russell, FNP-C

  • Family Nurse Practitioner
  • West Plains, MO
National Provider Identifier
1437510252
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016006911 Issued in MO
Practice address
181 N Kentucky Ave
Suite 200
West Plains, MO 65775-2089
Phone
(417) 255-8337
NPI assigned
Mar 8, 2016
Last updated
Mar 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2016006911 MO Primary

Addresses

Primary practice location

181 N Kentucky Ave
Suite 200
West Plains, MO 65775-2089

Mailing address

181 N Kentucky Ave
Suite 200
West Plains, MO 65775-2089
Phone (417) 255-8337

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
I20160328000302 MO Practitioner - Nurse Practitioner 0143527754 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Missouri Ear, Nose and Throat, PCGroup PAC ID 9638187131, 3 clinicians

Practice addresses (Care Compare)

1409 Doctors Dr
West Plains, MO 65775-4754
Phone (417) 255-1373

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
78.58
Promoting interoperability
99
Improvement activities
40
Cost
77.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016006911MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Missouri Ear, Nose & Throat, PC CurrentSince Jan 6, 2025 Accepting new patients
Ozarks Medical Center CurrentSince Mar 15, 2016 Accepting new patients
Ozarks Medical Center CurrentSince Mar 15, 2016 Accepting new patients

Locations

3098 Oak Grove Rd
Poplar Bluff, MO 63901
Phone (573) 778-2600

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

1409 Doctors Dr
West Plains, MO 65775
Phone (417) 255-1373

181 N Kentucky Ave
Ste 200
West Plains, MO 65775
Phone (417) 255-8337

Interoperability endpoints

  • Direct secure messaging: c.russell@mhccaremail.com
  • Direct secure messaging: christyrussell@omcmo.allscriptsdirect.net

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

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": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1437510252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 N KENTUCKY AVE",
            "address_2": "SUITE 200",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752089",
            "telephone_number": "417-255-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 N KENTUCKY AVE",
            "address_2": "SUITE 200",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752089",
            "telephone_number": "417-255-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "CHRISTY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016006911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.