Deidre Michelle Russell, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

1757432 Issued in FL

Practice address

724 NW 43Rd St
Gainesville, FL 32607-6110

Phone

(352) 332-7222

Fax

(352) 332-7330

NPI assigned

Apr 25, 2007

Last updated

Nov 8, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

88.76 of 100Reported as group

Quality

84.84

Promoting interoperability

100

Improvement activities

40

Cost

77.7

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deidre.russell.1@23211.direct.athenahealth.com

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.

• OB Hospitalist Group LLC

  • Obstetrics & Gynecology Physician
  • Boca Raton, FL
  • NPI 1710647334
  Medicare reassignment
• Florida Woman Care LLC

  • Obstetrics & Gynecology Physician
  • Gainesville, FL
  • NPI 1801556980
  NPD

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1770702979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 NW 43RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076110",
            "telephone_number": "352-332-7222",
            "fax_number": "352-332-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 NW 43RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076110",
            "telephone_number": "352-332-7222",
            "fax_number": "352-332-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "DEIDRE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "1757432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry E Rushing, M.A., L.M.H.C.
• Carrie Rusin
• Lori Russ-Eisenschenk, PH.D.
• Joneshia L Russ
• Kody Eugene Russelburg
• Katherine Elizabeth Russell, LMT
• Lisa-Kay Russell
• Peggy Russell, PHD
• Jacqueline Jaudon Russo, M.D.
• Matthew Gerrard Russo

• Advanced Practice Midwife in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Advanced Practice Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.