Thomas Lee Russell, DNP, FNP-C, PMHNP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.022944 Issued in OH

Practice address

17872 Lincoln Hwy
Middle Point, OH 45863

Phone

(419) 968-2950

NPI assigned

Jun 4, 2018

Last updated

May 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oglethorpe of Middlepoint LLCGroup PAC ID 7911167309, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Oglethorpe of Middlepoint LLC

  dba Ridgeview Hospital

  • Psychiatric Hospital
  • Middle Point, OH
  • NPI 1104195668
  Medicare reassignment Care Compare group NPD
• Beacon Mental Health Associates of Van Wert L.L.C.

  • Psychiatry Physician
  • Ohio City, OH
  • NPI 1609719095
  NPD Authorized official
• Beacon Mental Health Associates of Van Wert L.L.C.

  • Medical Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1417864877
  Authorized official Same address or phone
• Providergenix LLC

  dba Providergenix Healthcare Services

  • Primary Care Nurse Practitioner
  • Cleveland, OH
  • NPI 1194327098
  Authorized official Same address or phone
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1881186971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10627 CONVOY RD",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458919459",
            "telephone_number": "419-406-0067",
            "fax_number": "888-728-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17872 LINCOLN HWY",
            "city": "MIDDLE POINT",
            "state": "OH",
            "postal_code": "45863",
            "telephone_number": "419-968-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "THOMAS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C, PMHNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.022944",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022944",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.022944",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.022944",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.317795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Frank
• Ipg RS LLC (Lincolnway Behavior Health Hospital)
• Oglethorpe of Middlepoint LLC (Ridgeview Hospital)
• Mathew Olatunde, PMHNP
• Rightway Nextgen LLC.
• Village of Middle Point
• Toni C Wisher

• Psychiatric/Mental Health Nurse Practitioner in Middle Point, OH
• Providers in Middle Point, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.