Individual provider Active NPI

Cameron Russell

  • Family Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1720975899
Registry record updated Jun 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
37689 Issued in TN
Practice address
7945 Wolf River Blvd
Germantown, TN 38138-1762
Phone
(005) 590-1683
NPI assigned
Jun 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2025

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 37689 TN Primary

Addresses

Primary practice location

7945 Wolf River Blvd
Germantown, TN 38138-1762

Mailing address

4899 Essexshire Ave
Memphis, TN 38117-5628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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
I20250813003744 TN Practitioner - Nurse Practitioner 0648778092 Reassigns benefits to 1 organization
I20251008001198 MS Practitioner - Nurse Practitioner 0648778092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The West Clinic P.C.Group PAC ID 2668360579, 115 clinicians

Practice addresses (Care Compare)

7668 Airways Blvd
Southaven, MS 38671-5304
Phone (662) 349-9556

7945 Wolf River Blvd
Germantown, TN 38138-1762
Phone (901) 683-0055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37689TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The West Clinic P.C. CurrentSince Jul 7, 2025 Accepting new patients

Locations

7668 Airways Blvd
Southaven, MS 38671
Phone (662) 349-9556

7945 Wolf River Blvd
Memphis, TN 38138
Phone (901) 448-7000

7714 Poplar Ave
Ste 200
Memphis, TN 38138
Phone (901) 322-9080

1588 Union Ave
Memphis, TN 38104
Phone (901) 276-2410

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750464000000",
    "number": "1720975899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4899 ESSEXSHIRE AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 WOLF RIVER BLVD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381762",
            "telephone_number": "005-590-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "CAMERON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-21",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "37689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.