Individual provider Active NPI

Alexandrea Caroline Russell, CNM, WHNP-BC

  • Advanced Practice Midwife
  • Newark, DE
National Provider Identifier
1861074643
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
4745 Ogletown-Stanton Rd
Map 1, Suite 200
Newark, DE 19713
Phone
(302) 454-9800
NPI assigned
Apr 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

4745 Ogletown-Stanton Rd
Map 1, Suite 200
Newark, DE 19713

Mailing address

1011 S 11TH St Apt 2R
Philadelphia, PA 19147-3829
Phone (860) 402-8805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220225001818 PA Practitioner - Certified Nurse Midwife (CNM) 5193122091 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital CurrentSince Jun 19, 2023 Accepting new patients
Abington Memorial Hospital CurrentSince Mar 1, 2022 Accepting new patients
Abington Memorial Hospital CurrentSince Mar 1, 2022 Accepting new patients
Abington Memorial Hospital CurrentSince Mar 1, 2022 Accepting new patients
Abington Memorial Hospital CurrentSince Jun 1, 2022 Accepting new patients
Abington Memorial Hospital CurrentSince Mar 1, 2022 Accepting new patients
Women First, LLC PastSince Aug 1, 2021 Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1245 Highland Ave
Ste 109
Abington, PA 19001
Phone (215) 481-3900

1245 Highland Ave
Ste G01
Abington, PA 19001
Phone (215) 366-1160

1245 Highland Ave
Ste 505
Abington, PA 19001
Phone (215) 443-0660

1811 Bethlehem Pike
Ste A110
Flourtown, PA 19031
Phone (215) 366-1160

118 Welsh Rd
Unit A
Horsham, PA 19044
Phone (215) 657-5200

300 Welsh Rd
Bldg 2
Horsham, PA 19044
Phone (855) 930-8346

125 Medical Campus Dr
Ste 200
Lansdale, PA 19446
Phone (215) 361-4980

7996 Oxford Ave
Philadelphia, PA 19111
Phone (215) 725-1411

1045 Bustleton Pike
Trevose, PA 19053
Phone (215) 364-2158

1380 Easton Rd
Warrington, PA 18976
Phone (215) 491-5057

2729 Blair Mill Rd
Ste C
Willow Grove, PA 19090
Phone (215) 443-0660

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1861074643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 S 11TH ST APT 2R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473829",
            "telephone_number": "860-402-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 OGLETOWN-STANTON RD",
            "address_2": "MAP 1, SUITE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-454-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ALEXANDREA",
        "middle_name": "CAROLINE",
        "credential": "CNM, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.