Debra Lynn Russell, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1097550 Issued in AL

Practice address

24980 State Street
PO Drawer 519
Elberta, AL 36530

Phone

(251) 986-7301

Fax

(251) 986-5927

NPI assigned

Mar 28, 2013

Last updated

Feb 20, 2020By the provider in NPPES

Sex

Female

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 AL

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Elberta Clinic, PCGroup PAC ID 6901874403, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thomas Home Health Home health agency, Fairhope, AL, CCN 017148
• Baldwin Health Hospital, Foley, AL, CCN 010083

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Elberta Clinic, PC

  • Family Medicine Physician
  • Elberta, AL
  • NPI 1588752844
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Foley Hospital Company LLC

  dba Baldwin Health

  • General Acute Care Hospital
  • Foley, AL
  • NPI 1053382655
  Care Compare affiliation
• Thomas Home Health, LLC

  dba Thomas Home Health

  • Home Health Agency
  • Fairhope, AL
  • NPI 1790902435
  Care Compare affiliation

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1871836858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "ELBERTA",
            "state": "AL",
            "postal_code": "365300519",
            "telephone_number": "251-986-7301",
            "fax_number": "251-986-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24980 STATE STREET",
            "address_2": "PO DRAWER 519",
            "city": "ELBERTA",
            "state": "AL",
            "postal_code": "36530",
            "telephone_number": "251-986-7301",
            "fax_number": "251-986-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1097550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physical Therapy Specialists, Inc. (Elberta Physical Therapy)
• Lindsay Pieper, CRNP
• Lindsay Potts
• Caroline Bryce Ray
• Robert L Roe, M.D.
• Lacey B Santa Cruz, CRNP
• Rucer Lewis Staggers, M.D.
• Takl Corporation (Med Plus)
• Madilyn E Tomaso, MD
• Joseph P Walsh, M.D.

• Nurse Practitioner in Elberta, AL
• Providers in Elberta, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.