Individual provider Active NPI

Kristen Marie Russell, NP

  • Family Nurse Practitioner
  • Lincoln, RI
National Provider Identifier
1457034787
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN282284 Issued in MA
Practice address
6 Blackstone Valley Place
BLDG 3, Suite 306B
Lincoln, RI 02865-1112
Phone
(401) 723-9250
NPI assigned
Aug 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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 RN282284 MA Primary

Addresses

Primary practice location

6 Blackstone Valley Place
BLDG 3, Suite 306B
Lincoln, RI 02865-1112

Mailing address

132 Old River Rd Ste 108
Lincoln, RI 02865-1397
Phone (401) 723-9250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231007000335 MA Practitioner - Nurse Practitioner 3375782568 Reassigns benefits to 1 organization
I20241029001173 RI Practitioner - Nurse Practitioner 3375782568 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Oct 1, 2023 Accepting new patients
Prima Care, PC CurrentSince Oct 1, 2023 Accepting new patients
Core Clinicals LLC CurrentSince Aug 9, 2024 Accepting new patients

Locations

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

101 Sullivan Dr
Fall River, MA 02721
Phone (508) 672-0107

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

132 Old River Rd
Ste 108
Lincoln, RI 02865
Phone (401) 334-1044

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.

NPI Registry JSON

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1457034787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 OLD RIVER RD STE 108",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651397",
            "telephone_number": "401-723-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PLACE",
            "address_2": "BLDG 3, SUITE 306B",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651112",
            "telephone_number": "401-723-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN282284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.