Elizabeth Denise Russ, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP025080 Issued in PA

Practice address

1375 Hares Hill Rd
Kimberton, PA 19442

Phone

(610) 933-0708

NPI assigned

Aug 28, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Michigan State University College of Human Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Kimberton Clinic,IncGroup PAC ID 6507027117, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• The Kimberton Clinic,Inc

  • Family Medicine Physician
  • Kimberton, PA
  • NPI 1952422214
  Medicare reassignment Care Compare group NPD
• Advanced Radiation Oncology Medical Group, Inc.

  • Radiation Oncology Physician
  • West Covina, CA
  • NPI 1720266075
  NPD (past)
• Triangle Family Medicine, PA

  • Family Medicine Physician
  • Holly Springs, NC
  • NPI 1184926024
  NPD (past)

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

• Phoenixville Hospital, LLC

  • General Acute Care Hospital
  • Phoenixville, PA
  • NPI 1750805552
  Care Compare affiliation

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1881175677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SWAN DR",
            "city": "MORGANTOWN",
            "state": "PA",
            "postal_code": "195439328",
            "telephone_number": "949-306-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 HARES HILL RD",
            "city": "KIMBERTON",
            "state": "PA",
            "postal_code": "19442",
            "telephone_number": "610-933-0708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5233 Sunset Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275403793",
            "country_code": "US",
            "telephone_number": "919-387-8885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSS",
        "first_name": "ELIZABETH",
        "middle_name": "DENISE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010898.",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Grant Fried, MD
• Kimberton Fire Company
• One Lantern Senior Living Group Inc.
• The Kimberton Clinic,Inc

• Family Nurse Practitioner in Kimberton, PA
• Providers in Kimberton, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.