Jacqueline Marie Russell, RN MSN APNC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NN06637900 Issued in NJ

Practice address

4011 Route 9 S
Suite 201
Rio Grande, NJ 08242-1916

Phone

(609) 770-7788

Fax

(609) 770-7774

NPI assigned

Sep 7, 2006

Last updated

Feb 22, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacquekinerussell@crhs.allscriptsdirect.net

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.

• Cape Physicians Associates PA

  dba Cape Regional Physicians Associates

  • Internal Medicine Physician
  • Cape May Court House, NJ
  • NPI 1003805227
  Medicare reassignment NPD

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1497858070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 593",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082100593",
            "telephone_number": "609-463-2755",
            "fax_number": "609-463-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 ROUTE 9 S",
            "address_2": "SUITE 201",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421916",
            "telephone_number": "609-770-7788",
            "fax_number": "609-770-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN MSN APNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN06637900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Marie Rohana, APN-C
• Louvens Romain, MD
• Victoria Summer Rose, M.D.
• Gerard Rosenberg, LAC
• Lauren Ruef, MSW LCSW
• Elisa C Sandonato-Rubbert, LCSW
• Sentinel Medical Associates
• Maegan Elisabeth Sharkey, DPT
• Abigail Elizabeth Sheilds, PA
• Gino Sinigaglio, PHARMD

• Family Nurse Practitioner in Rio Grande, NJ
• Providers in Rio Grande, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.