Individual provider Active NPI

Billie J Russell, ARNP

  • Adult Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1871640250
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
315762 Issued in FL
Practice address
4348 Southpoint Blvd Ste 100
Jacksonville, FL 32216-0903
Phone
(248) 434-6169
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 315762 FL Primary

Addresses

Primary practice location

4348 Southpoint Blvd Ste 100
Jacksonville, FL 32216-0903

Mailing address

756 County Road 13 South
St. Augustine, FL 32092
Phone (904) 501-1903

Other practice location 1

201 Health Park Blvd
Suite 105
St Augustine, FL 32086-5796
Phone (904) 824-1776

Other identifiers 1

IdentifierTypeStateIssuer
315762OtherFLARNP LICENSE

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
I20090429000289 FL Practitioner - Nurse Practitioner 9537217625 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rmed LLCGroup PAC ID 6608768411, 25 clinicians
Ansaarie Cardiac and Endovascular Center of ExcellenceGroup PAC ID 8123309127, 5 clinicians

Practice addresses (Care Compare)

Tampa, FL 33637
Phone (813) 517-0137

215 S US Hwy 17
East Palatka, FL 32131-4087
Phone (386) 232-9203

Hospital & facility affiliations

  • Pinnacle Home Care Home health agency, Ormond Beach, FL, CCN 108499
  • Alpine Care Home Health Home health agency, Jacksonville, FL, CCN 108117
  • Baptist Home Health Care by Bayada Home health agency, Jacksonville, FL, CCN 107482
  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090
  • HCA Florida Putnam Hospital Hospital, Palatka, FL, CCN 100232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
315762FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ansaarie Cardiac & Endovascular Center of Excellence CurrentSince Sep 20, 2025 Accepting new patients
Rmed LLC CurrentSince Nov 1, 2023 Accepting new patients
St Augustine Cardiology Associates PA CurrentSince Mar 8, 2009 Accepting new patients
Rmed LLC CurrentSince Nov 1, 2023 Accepting new patients
Advanced Endovascular Institute PastSince Apr 11, 2021 Accepting new patients

Locations

215 S US Highway 17
East Palatka, FL 32131
Phone (386) 232-9203

4348 Southpoint Blvd
Ste 100
Jacksonville, FL 32216
Phone (904) 281-1087

1301 Plantation Island Dr S
Ste 401A
Saint Augustine, FL 32080
Phone (386) 232-9203

201 Health Park Blvd
Ste 105
St Augustine, FL 32086
Phone (904) 309-9888

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

Interoperability endpoints

  • Direct secure messaging: billie.russell.1@32913.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGGIAD

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 6

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1871640250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 COUNTY ROAD 13 SOUTH",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32092",
            "telephone_number": "904-501-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 SOUTHPOINT BLVD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160903",
            "telephone_number": "248-434-6169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Health Park Blvd",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865796",
            "country_code": "US",
            "telephone_number": "904-824-1776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "BILLIE",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "315762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "315762",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.