Individual provider Active NPI

Nastassya Russell, FNP-C

  • Nurse Practitioner
  • Charlottesville, VA
National Provider Identifier
1801669312
Registry record updated Apr 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F08230267 Issued in VA
Practice address
1540 Founders PL
Charlottesville, VA 22902-8733
Phone
(434) 422-4800
NPI assigned
Nov 6, 2023
Last updated
Apr 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F08230267 VA Primary

Addresses

Primary practice location

1540 Founders PL
Charlottesville, VA 22902-8733

Mailing address

4640 Old Fredericksburg Rd
Mineral, VA 23117-2130
Phone (804) 297-2641

Other names 1

  • Sasha Russell Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109001268 VA Practitioner - Nurse Practitioner 0446601082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians
Virginia Internal Medicine IncGroup PAC ID 4082869250, 101 clinicians

Practice addresses (Care Compare)

1401 Virginia Ave
Harrisonburg, VA 22802-2433
Phone (540) 564-3550

1475 Virginia Ave
Harrisonburg, VA 22802-2433
Phone (540) 564-3400

220 S Pantops Dr
Charlottesville, VA 22911-8674
Phone (434) 977-0002

41816 Fenway Cir
Ashburn, VA 20148-8069
Phone (347) 761-7200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F08230267VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC Nurse Practitioner CurrentSince Sep 23, 2025 Accepting new patients
Virginia Internal Medicine Inc CurrentSince Feb 28, 2024 Accepting new patients

Locations

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

1540 Founders Pl
Charlottesville, VA 22902
Phone (434) 422-4800

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712966400000",
    "number": "1801669312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 OLD FREDERICKSBURG RD",
            "city": "MINERAL",
            "state": "VA",
            "postal_code": "231172130",
            "telephone_number": "804-297-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 FOUNDERS PL",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229028733",
            "telephone_number": "434-422-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "NASTASSYA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2024-04-13",
        "certification_date": "2024-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "F08230267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASHA",
            "last_name": "RUSSELL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.