Individual provider Active NPI

Jamie Russ

  • Family Nurse Practitioner
  • North Chesterfield, VA
National Provider Identifier
1720619794
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024177097 Issued in VA
Practice address
5401 Jefferson Davis Hwy
North Chesterfield, VA 23234-2257
Phone
(804) 383-2000
NPI assigned
Jan 29, 2020
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 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, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230131001960 VA Practitioner - Nurse Practitioner 8628495942 Reassigns benefits to 3 organizations
I20250830000522 NC Practitioner - Nurse Practitioner 8628495942 Reassigns benefits to 1 organization

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
Palmetto Infusion Services LLCGroup PAC ID 4688578826, 60 clinicians

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

OrganizationSpecialtyStatusNew patients
Bon Secours Urgent Care LLC CurrentSince Nov 18, 2024 Accepting new patients
Short Pump Family Care, LLC CurrentSince Sep 1, 2024 Accepting new patients
Roanoke Valley Healthcare Partners, LLC CurrentSince Sep 1, 2024 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

  • Direct secure messaging: jamie.russ@237407481626628.direct.elationemr.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.