Mary C Russell, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN5921 Issued in TN

Practice address

180 Emory Rd
Blaine, TN 37709-2420

Phone

(865) 933-4110

Fax

(865) 933-4729

NPI assigned

Jul 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Faculty Internal Medicine PLLC

  • Specialist
  • Knoxville, TN
  • NPI 1417095308
  Medicare reassignment NPD
• Faculty Internal Medicine, PLLC

  • Specialist
  • Knoxville, TN
  • NPI 1265457113
  NPD
• Cherokee Health Systems

  • Federally Qualified Health Center (FQHC)
  • Talbott, TN
  • NPI 1134128820
  NPD (past)
• Cherokee Health Systems

  • Federally Qualified Health Center (FQHC)
  • Blaine, TN
  • NPI 1336386440
  NPD (past)
• Cherokee Health Systems

  • Federally Qualified Health Center (FQHC)
  • White Pine, TN
  • NPI 1699666404
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447258652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT 888182",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379950001",
            "telephone_number": "800-355-3565",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 EMORY RD",
            "city": "BLAINE",
            "state": "TN",
            "postal_code": "377092420",
            "telephone_number": "865-933-4110",
            "fax_number": "865-933-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "RN65079",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN5921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3342488",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Gail Patton, NP
• Sharon Key Payne
• Cindy Melissa Reese, MXR.T. (R)
• Tanya Nicole Roark-Hickman, CCMA
• Tiffany Michelle Roberts, RN
• Robert Earl Saunders Jr., LICENSED CLINICAL SO
• Joshua Michael Schaff, BS
• Nancy Scott, LPN
• Heather Danielle Shipley, LMSW
• Marina Kathryne Smith

• Family Nurse Practitioner in Blaine, TN
• Providers in Blaine, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.