Individual provider Active NPI

Rebecca Russ, FNP

  • Family Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1609328277
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7191-33 Issued in WI
Practice address
1710 N 33Rd St
Milwaukee, WI 53208-1904
Phone
(414) 930-8333
NPI assigned
Oct 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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 7191-33 WI Primary

Addresses

Primary practice location

1710 N 33Rd St
Milwaukee, WI 53208-1904

Mailing address

1710 N 33Rd St
Milwaukee, WI 53208-1904
Phone (414) 930-8333

Other practice location 1

9200 W Wisconsin Ave
Transplant Surgery
Milwaukee, WI 53226-3522
Phone (414) 805-6400

Other identifiers 1

IdentifierTypeStateIssuer
1609328277MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20161123001496 WI Practitioner - Nurse Practitioner 5698054195 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical College of Wisconsin IncGroup PAC ID 2668384371, 2,092 clinicians

Practice addresses (Care Compare)

8701 W Watertown Plank
Milwaukee, WI 53226-3548
Phone (414) 805-3666

8701 Watertown Plank Rd
Room 4041 MFRC
Milwaukee, WI 53226-3548
Phone (414) 805-3666

Hospital & facility affiliations

  • Froedtert Memorial Lutheran Hospital Hospital, Milwaukee, WI, CCN 520177

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
82.81
Promoting interoperability
100
Improvement activities
40
Cost
77.15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anewu LLC CurrentSince Jul 1, 2020 Accepting new patients
Interpedia, S.C. CurrentSince Apr 3, 2023 Accepting new patients
Missing Lynx LLC Current Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Apr 17, 2017 Accepting new patients
Affiliated Surgery Center Inc Past Accepting new patients

Locations

1238 S Cesar E Chavez Dr
Milwaukee, WI 53204
Phone (414) 645-6665

216 Green Bay Rd
Ste 109
Thiensville, WI 53092
Phone (262) 241-5414

214 Green Bay Rd
Thiensville, WI 53092
Phone (414) 247-9005

2222 N Mayfair Rd
Ste 200
Wauwatosa, WI 53226
Phone (414) 299-3872

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

Organizations & group practices 5

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 1

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": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1609328277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 N 33RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532081904",
            "telephone_number": "414-930-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N 33RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532081904",
            "telephone_number": "414-930-8333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 W Wisconsin Ave",
            "address_2": "TRANSPLANT SURGERY",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263522",
            "country_code": "US",
            "telephone_number": "414-805-6400",
            "fax_number": "414-955-0213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSS",
        "first_name": "REBECCA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7191-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609328277",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.