Individual provider Active NPI

Joanne M Wilson Russell, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Princeton Junction, NJ
National Provider Identifier
1801574041
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ14880400 Issued in NJ
Practice address
61 Princeton Hightstown Rd Ste 1C
Princeton Junction, NJ 08550-1120
Phone
(609) 744-8608
Fax
(732) 607-4073
NPI assigned
Jul 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 26NO05773000 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ14880400 NJ Primary

Addresses

Primary practice location

61 Princeton Hightstown Rd Ste 1C
Princeton Junction, NJ 08550-1120

Mailing address

61 Hightstown Rd Ste 1C
Princeton Junction, NJ 08550-1120
Phone (609) 744-8608

Other practice location 1

524 Brighton Ave Ste 8B
Spring Lake, NJ 07762-1561
Phone (609) 744-8608

Other names 1

  • Joanne M Van Nest Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20230915003285 NJ Practitioner - Nurse Practitioner 9830553395 Practice locations: Princeton Junction, NJ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

61 Hightstown Rd
Suite 1C
Princeton Junction, NJ 08550-1120
Phone (609) 744-8608

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NO05773000NJMDAdult Psychiatric/Mental Health Registered Nurse
26NJ14880400NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nessuno PastSince Jul 1, 2023 Accepting new patients

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": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1801574041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 HIGHTSTOWN RD STE 1C",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501120",
            "telephone_number": "609-744-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 PRINCETON HIGHTSTOWN RD STE 1C",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085501120",
            "telephone_number": "609-744-8608",
            "fax_number": "732-607-4073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 Brighton Ave Ste 8B",
            "address_purpose": "LOCATION",
            "city": "Spring Lake",
            "state": "NJ",
            "postal_code": "077621561",
            "country_code": "US",
            "telephone_number": "609-744-8608",
            "fax_number": "732-607-4073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON RUSSELL",
        "first_name": "JOANNE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NO05773000",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ14880400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "VAN NEST",
            "middle_name": "M",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Princeton Junction, NJ

Sources for this page

Verify at the official NPI Registry.