Individual provider Active NPI

Juliet Constance Russell, PA-C

  • Hospitalist Physician
  • Westminster, MD
National Provider Identifier
1831487826
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
C04012 Issued in MD
Practice address
1130 Baltimore Blvd
Westminster, MD 21157-7098
Phone
(410) 871-3005
NPI assigned
Jul 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C04012 MD
Hospitalist Physician 208M00000X C04012 MD Primary

Addresses

Primary practice location

1130 Baltimore Blvd
Westminster, MD 21157-7098

Mailing address

7908 Roseland Ave
Rosedale, MD 21237-1509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20110816000755 MD Practitioner - Physician Assistant 2365611936 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Center of Maryland, PAGroup PAC ID 1153395306, 16 clinicians

Practice addresses (Care Compare)

5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-3775

5601 Loch Raven Blvd
3 North
Baltimore, MD 21239-2945

Hospital & facility affiliations

  • Medstar Good Samaritan Hospital Hospital, Baltimore, MD, CCN 210056

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
68.93
Improvement activities
40
Cost
74.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C04012MDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jul 15, 2013 Accepting new patients
Medstar Medical Group II LLC CurrentSince Nov 1, 2021 Accepting new patients
Medstar Franklin Square Physicians LLC Past Accepting new patients

Locations

5601 Loch Raven Blvd
#3N
Baltimore, MD 21239
Phone (410) 532-3775

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

5601 Loch Raven Blvd
Fl 3
Northwood, MD 21239
Phone (410) 532-3775

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

9101 Franklin Square Dr
Ste 205
Rosedale, MD 21237
Phone (410) 682-7000

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

Interoperability endpoints

  • Direct secure messaging: juliet.russell.1@7494.direct.athenahealth.com
  • Direct secure messaging: jrussell135594@direct.umm.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1831487826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7908 ROSELAND AVE",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212371509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 BALTIMORE BLVD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577098",
            "telephone_number": "410-871-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JULIET",
        "middle_name": "CONSTANCE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C04012",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "C04012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.