Active NPI
Stephen Ken Russell, FNP-BC
- Family Nurse Practitioner
- Fort Leonard Wood, MO
National Provider Identifier
1689149239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 34366.1665
- Practice address
- General Leonard Wood Army Community Hospital
4430 Missouri Ave
Fort Leonard Wood, MO 65473 - Phone
- (573) 596-1490
- NPI assigned
- Oct 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 34366.1665 | WY | Primary |
Addresses
Primary practice location
General Leonard Wood Army Community Hospital
4430 Missouri Ave
Fort Leonard Wood, MO 65473
Mailing address
Attn: CPT Stephen Russell
5005 North Piedras Street
El Paso, TX 79920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34366.1665 | WY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1689149239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ATTN: CPT STEPHEN RUSSELL",
"address_2": "5005 NORTH PIEDRAS STREET",
"city": "EL PASO",
"state": "TX",
"postal_code": "79920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL",
"address_2": "4430 MISSOURI AVE",
"city": "FORT LEONARD WOOD",
"state": "MO",
"postal_code": "65473",
"telephone_number": "573-596-1490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "STEPHEN",
"middle_name": "KEN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-10",
"last_updated": "2025-06-25",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WY",
"license": "34366.1665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Leonard Wood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.