Individual provider Active NPI

Vanessa Ann Russino, FNP

  • Nurse Practitioner
  • Naples, FL
National Provider Identifier
1851523948
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9403985 Issued in FL
Practice address
399 9TH St N Ste 300
Naples, FL 34102-5820
Phone
(239) 624-4200
Fax
(239) 634-4201
NPI assigned
Aug 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 ARNP9403985 FL Primary

Addresses

Primary practice location

399 9TH St N Ste 300
Naples, FL 34102-5820

Mailing address

399 9TH St N
#300
Naples, FL 34102-5820
Phone (239) 624-4200

Other identifiers 3

IdentifierTypeStateIssuer
Y0T5BOtherFLBCBS
015739100MedicaidFL
II238ZOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151022001023 FL Practitioner - Nurse Practitioner 3476862095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

399 9TH St N
300A Naples Heart Institute
Naples, FL 34102-5820
Phone (239) 436-5634

Hospital & facility affiliations

  • Naples Community Hospital Hospital, Naples, FL, CCN 100018

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd Inc CurrentSince Nov 1, 2015 Accepting new patients
Nchmd, Inc CurrentSince Nov 1, 2015 Accepting new patients

Locations

399 Tamiami Trl N
Naples, FL 34102
Phone (239) 624-1680

399 9th St N
Ste 300300A
Naples, FL 34102
Phone (239) 436-5634

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

399 Tamiami Trl N
Ste 300
Naples, FL 34102
Phone (239) 624-4200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: vrussino23234@nchhealthcaresystem.direct-ci.com

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 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": "1250899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851523948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 9TH ST N",
            "address_2": "#300",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025820",
            "telephone_number": "239-624-4200",
            "fax_number": "239-624-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 9TH ST N STE 300",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025820",
            "telephone_number": "239-624-4200",
            "fax_number": "239-634-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSINO",
        "first_name": "VANESSA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9403985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y0T5B",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015739100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "II238Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.