Active NPI
Juliet Constance Russell, PA-C
- Hospitalist Physician
- Westminster, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- C04012
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 68.93
- Improvement activities
- 40
- Cost
- 74.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C04012 | MD | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland St. Joseph Medical Group, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | 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
- juliet.russell.1@7494.direct.athenahealth.com
- 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.
-
- Nephrology Physician
- Baltimore, MD
- NPI 1518932862
-
- General Practice Physician
- Towson, MD
- NPI 1770836785
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- General Practice Physician
- Baltimore, MD
- NPI 1538582945
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1811084718
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.