Active NPI
Jamie Russ
- Family Nurse Practitioner
- North Chesterfield, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024177097
- Practice address
- 5401 Jefferson Davis Hwy
North Chesterfield, VA 23234-2257 - Phone
- (804) 383-2000
- NPI assigned
- Jan 29, 2020
- Last updated
- Oct 23, 2024
- Sex
- Female
- 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 | 0024177097 | VA | Primary |
Addresses
Primary practice location
5401 Jefferson Davis Hwy
North Chesterfield, VA 23234-2257
Mailing address
2620 Elm Hill Pike
Nashville, TN 37214-3108
Other practice location 1
2603 Nine Mile Road
Richmond, VA 23223
Phone (804) 877-8325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14401 Sommerville CT
Suite B
Midlothian, VA 23113-6914
Phone (800) 809-1265
2001 N Church St
Suite 201
Greensboro, NC 27405-5633
Phone (800) 809-1265
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Urgent Care LLC | Current | Accepting new patients | |
| Short Pump Family Care, LLC | Current | Accepting new patients | |
| Roanoke Valley Healthcare Partners, LLC | Current | Accepting new patients | |
| Blue Ridge Healthcare Partners, LLC | Past | Accepting new patients | |
| Midlothian Medi LLC | Past | Accepting new patients |
Locations
9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702
12731 Stone Village Way
Midlothian, VA 23113
Phone (804) 379-1500
602 Brandon Ave SW
Ste 222
Roanoke, VA 24015
Phone (540) 774-0000
Interoperability endpoints
- jamie.russ@237407481626628.direct.elationemr.com
- jruss2729497@direct.bsmhealth.org
Organizations & group practices 6
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.
-
dba Palmetto Infusion Services
- Infusion Therapy Clinic/Center
- West Columbia, SC
- NPI 1265462659
NC, VA
-
- Urgent Care Clinic/Center
- Glen Allen, VA
- NPI 1265160501
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1619274446
-
- Primary Care Clinic/Center
- Midlothian, VA
- NPI 1487068334
-
- Primary Care Clinic/Center
- Roanoke, VA
- NPI 1518304955
-
- Family Medicine Physician
- Midlothian, VA
- NPI 1760051502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1720619794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 ELM HILL PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372143108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 JEFFERSON DAVIS HWY",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232342257",
"telephone_number": "804-383-2000"
}
],
"practiceLocations": [
{
"address_1": "2603 Nine Mile Road",
"address_purpose": "LOCATION",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23223",
"country_code": "US",
"telephone_number": "804-877-8325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSS",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-29",
"last_updated": "2024-10-23",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024177097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.