Marcus Eugene Russell, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0036920 Issued in OH

Practice address

1085 Polaris Pkwy
Columbus, OH 43240-2004

Phone

(614) 537-8320

NPI assigned

Jul 3, 2024

Last updated

Jul 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Buckeye ClinicGroup PAC ID 7810237666, 11 clinicians

Incare Health Solutions LLCGroup PAC ID 5092980730, 66 clinicians

Whitehall Medical Center IncGroup PAC ID 6103850086, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Buckeye Clinic

  • Addiction Medicine (Family Medicine) Physician
  • Columbus, OH
  • NPI 1366992893

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Incare Health Solutions LLC

  dba Walk in Urgent Care

  • Internal Medicine Physician
  • Marion, OH
  • NPI 1235422403

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Whitehall Medical Center Inc

  • General Practice Physician
  • Columbus, OH
  • NPI 1487795795

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Buckeye Clinic

  • Clinical Medical Laboratory
  • Dublin, OH
  • NPI 1154823953
  NPD
• Incare Health Solutions, LLC

  dba Walk in Clinic

  • Primary Care Nurse Practitioner
  • Ontario, OH
  • NPI 1639621824

  Family

  NPD
• Buckeye Clinic

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
  • NPI 1174115034
  NPD (past)

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1851137400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 POLARIS PKWY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432402004",
            "telephone_number": "614-505-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 POLARIS PKWY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432402004",
            "telephone_number": "614-537-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MARCUS",
        "middle_name": "EUGENE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0036920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Clyde Russell Jr., CDCA
• Kevin Russell
• Lacey Russell
• Lindsay Erin Russell, CPNP
• Madison N. Russell, SLP
• Mary Elaine Russell, DPT
• McKenna J Russell
• Melanie Dizon Russell, CDCA PRELIMINARY
• Molly Russell
• Morgan Lea Russell, FNP-C

• Family Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.

Verify at the official NPI Registry.