Individual provider Active NPI

Erin Rachelle Russell, MSN, FNP-BC

  • Family Nurse Practitioner
  • Mason, OH
National Provider Identifier
1639444052
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN.336271 Issued in OH
Practice address
5633 Tylersville Rd Ste B
Mason, OH 45040-2533
Phone
(513) 622-9595
Fax
(134) 437-7774
NPI assigned
Mar 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN.336271 OH Primary
Family Medicine Physician 207Q00000X 13245-NP OH

Addresses

Primary practice location

5633 Tylersville Rd Ste B
Mason, OH 45040-2533

Mailing address

5633 Tylersville Rd Ste B
Mason, OH 45040-2533
Phone (513) 622-9595

Other identifiers 1

IdentifierTypeStateIssuer
1639444052OtherOHUNSURE

Other names 1

  • Erin Rachelle Whitaker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120404000790 OH Practitioner - Nurse Practitioner 4385804053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Medical Associates, LLCGroup PAC ID 0244314102, 270 clinicians

Practice addresses (Care Compare)

1171 State Route 28
Milford, OH 45150-2154
Phone (513) 831-4811

2123 Auburn Ave
Cincinnati, OH 45219-2906

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-2000

4440 Red Bank Rd
Cincinnati, OH 45227-2177

Hospital & facility affiliations

  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13245-NPOHMDFamily Medicine Physician
RN.336271OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Christ Hospital Medical Associates, LLC Family Medicine CurrentSince Apr 13, 2025 Accepting new patients
Hyde Park Medical Associates, Inc. Current Accepting new patients
Christ Hospital Medical Specialists LLC Past Accepting new patients

Locations

2139 Auburn Ave
#49
Cincinnati, OH 45219

2123 Auburn Ave
#200
Cincinnati, OH 45219
Phone (513) 321-0833

4440 Red Bank Rd
Ste 210
Cincinnati, OH 45227
Phone (513) 484-1086

1171 State Route 28
Ste B100
Milford, OH 45150

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.

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": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1639444052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5633 TYLERSVILLE RD STE B",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402533",
            "telephone_number": "513-622-9595",
            "fax_number": "134-437-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 TYLERSVILLE RD STE B",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402533",
            "telephone_number": "513-622-9595",
            "fax_number": "134-437-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ERIN",
        "middle_name": "RACHELLE",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN.336271",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "13245-NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNSURE",
            "identifier": "1639444052",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "WHITAKER",
            "middle_name": "RACHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.