Active NPI
Christine Elaine Russell, NP
- Gerontology Nurse Practitioner
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 0024178539
- Practice address
- 301 Riverview Ave Ste 400
Norfolk, VA 23510-1065 - Phone
- (757) 622-5325
- Fax
- (757) 625-6743
- NPI assigned
- Dec 5, 2019
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 0024178539 | VA | Primary |
Addresses
Primary practice location
301 Riverview Ave Ste 400
Norfolk, VA 23510-1065
Mailing address
14 W Riverpoint Dr
Hampton, VA 23669-1072
Phone (757) 262-9405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6160 Kempsville Cir
Suite 325a
Norfolk, VA 23502-3933
Phone (757) 354-2885
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Atlantic Post Acute & Long Term Care PLLC | Gerontology | Current | Accepting new patients |
| SE Virginia Value Based Care, LLC | Current | Accepting new patients | |
| Integrated Medical Services PLC | Past | Accepting new patients |
Locations
6160 Kempsville Cir
Ste 325A
Norfolk, VA 23502
Phone (757) 354-2885
1309 Kempsville Rd
Norfolk, VA 23502
Phone (757) 446-5794
Organizations & group practices 3
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Norfolk, VA
- NPI 1225557556
Gerontology
-
- Geriatric Medicine (Internal Medicine) Physician
- Norfolk, VA
- NPI 1225720501
-
- Specialist
- Virginia Beach, VA
- NPI 1770596306
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newport News, VA
- NPI 1568695278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1790322097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 W RIVERPOINT DR",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236691072",
"telephone_number": "757-262-9405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 RIVERVIEW AVE STE 400",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101065",
"telephone_number": "757-622-5325",
"fax_number": "757-625-6743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "CHRISTINE",
"middle_name": "ELAINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-05",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "VA",
"license": "0024178539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.