Krystal Russell, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA16948 Issued in OH

Practice address

1607 State Rd
Ste 6
Vermilion, OH 44089-9142

Phone

(440) 967-8713

Fax

(440) 967-1938

NPI assigned

Jan 21, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy Health Physicians Lorain Specialty Care LLCGroup PAC ID 4688070055, 134 clinicians

Mercy Health Physicians Lorain LLCGroup PAC ID 1355474172, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krussell159460@direct.bsmhealth.org

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.

• Mercy Health Physicians Lorain Specialty Care LLC

  • Surgery Physician
  • Lorain, OH
  • NPI 1972126381

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Mercy Health Physicians Lorain, LLC

  • Family Medicine Physician
  • Lorain, OH
  • NPI 1023347192

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Mercy Health-Allen Hospital LLC

  dba Mercy Health Allen Hospital

  • Critical Access Hospital
  • Oberlin, OH
  • NPI 1801825997
  Medicare reassignment NPD
• Mercy Health Physicians Lorain Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Vermilion, OH
  • NPI 1255063145
  NPD
• Mercy Health Physicians, Lorain, LLC

  dba Mercy Health - Orthopedics and Sports Medicine

  • Durable Medical Equipment & Medical Supplies
  • Oberlin, OH
  • NPI 1730724147
  NPD
• Mercy Health-Allen Hospital LLC

  dba Mercy Health Lagrange Primary Care

  • Rural Health Clinic/Center
  • Lagrange, OH
  • NPI 1306070594
  NPD
• Mercy Health-Allen Hospital LLC

  dba MH-Wellington Primary Care

  • Rural Health Clinic/Center
  • Wellington, OH
  • NPI 1780818963
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health-Regional Medical Center LLC

  dba Mercy Regional Medical Center Laboratory

  • Clinical Medical Laboratory
  • Lorain, OH
  • NPI 1164971800

  Hospital

  Care Compare affiliation
• Mercy Health-Regional Medical Center LLC

  dba Mercy Health Lorain Hospital

  • General Acute Care Hospital
  • Lorain, OH
  • NPI 1245274950
  Care Compare affiliation

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1750770244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636643",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636643",
            "telephone_number": "440-989-3801",
            "fax_number": "440-960-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 STATE RD",
            "address_2": "STE 6",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440899142",
            "telephone_number": "440-967-8713",
            "fax_number": "440-967-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "KRYSTAL",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA16948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119107",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3025372",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geral Miguel Paulino Rodriguez
• Minya Roper
• James Rosecrans, LMHC, LICDC
• Thomas G Ruh, O.D.
• George Curtis Russell, D.D.S.
• Tarice Sanders
• Brigitte Maria Santos
• Rebeka Ann Saunders, LPN
• William Michael Schmitt, M.D.
• Amy Schoelwer, MED, RD,LD

• Family Nurse Practitioner in Vermilion, OH
• Providers in Vermilion, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.