Individual provider Active NPI

Beatrice Ann Russell

  • Family Nurse Practitioner
  • Brewer, ME
National Provider Identifier
1477047728
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP181121 Issued in ME
Practice address
33 Whiting Hill Rd
Brewer, ME 04412-1021
Phone
(207) 973-7478
Fax
(207) 487-3158
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CNP181121 ME
Family Nurse Practitioner 363LF0000X CNP181121 ME Primary

Addresses

Primary practice location

33 Whiting Hill Rd
Brewer, ME 04412-1021

Mailing address

43 Whiting Hill Rd Ste 300
Brewer, ME 04412-1006
Phone (207) 973-7478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20180806000072 ME Practitioner - Nurse Practitioner 9335497569 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

417 State St
Bangor, ME 04401-6639

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.4
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP181121MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MRH Corp. CurrentSince Jul 23, 2020 Accepting new patients
Eastern Maine Medical Center CurrentSince Nov 10, 2019 Accepting new patients
Sebasticook Valley Health Family Medicine CurrentSince Jun 29, 2018 Accepting new patients
Sebasticook Valley Health CurrentSince Jun 29, 2018 Accepting new patients
MRH Corp. CurrentSince Jul 23, 2020 Accepting new patients
Eastern Maine Medical Center CurrentSince Nov 10, 2019 Accepting new patients
MRH Corp. Family Medicine Past Accepting new patients

Locations

489 State St
Bangor, ME 04401
Phone (207) 973-8837

33 Whiting Hill Rd
Brewer, ME 04412
Phone (207) 973-7478

43 Whiting Hill Rd
Ste 300
Brewer, ME 04412
Phone (207) 973-5000

33 Whiting Hill Rd
Ste 34
Brewer, ME 04412
Phone (207) 973-9771

492 Main St
Corinth, ME 04427
Phone (207) 285-3312

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

135 Park St
Milo, ME 04463
Phone (207) 943-7752

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

470 Somerset Ave
Pittsfield, ME 04967
Phone (207) 487-3884

Organizations & group practices 7

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 5

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1477047728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WHITING HILL RD STE 300",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121006",
            "telephone_number": "207-973-7478",
            "fax_number": "207-973-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WHITING HILL RD",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121021",
            "telephone_number": "207-973-7478",
            "fax_number": "207-487-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "BEATRICE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "CNP181121",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP181121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewer, ME

Sources for this page

Verify at the official NPI Registry.