Individual provider Active NPI

Helena Russell, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • St Augustine, FL
National Provider Identifier
1932855764
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11026696 Issued in FL
Practice address
1880 San Sebastian VW Ste 4201
St Augustine, FL 32084-8684
Phone
(800) 539-4228
NPI assigned
Mar 2, 2022
Last updated
Jun 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11026696 FL Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN9499999 FL

Addresses

Primary practice location

1880 San Sebastian VW Ste 4201
St Augustine, FL 32084-8684

Mailing address

150 Magnolia Ave
Daytona Beach, FL 32114-4304

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
I20230621003631 FL Practitioner - Nurse Practitioner 3274991351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sma Healthcare IncGroup PAC ID 0244226363, 39 clinicians

Practice addresses (Care Compare)

200 San Sebastian VW
Suite 2102
St Augustine, FL 32084-8695
Phone (800) 539-4228

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9499999FLMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sma Healthcare, Inc CurrentSince Jun 3, 2023 Accepting new patients
Sma Healthcare Inc CurrentSince Jun 3, 2023 Accepting new patients
Sma Healthcare Inc Past Accepting new patients
Sma Healthcare Inc PastSince Mar 1, 2022 Accepting new patients

Locations

301 Justice Ln
Bunnell, FL 32110
Phone (386) 236-1726

1150 Red John Dr
Daytona Beach, FL 32124
Phone (386) 236-3183

1220 Willis Ave
Daytona Beach, FL 32114
Phone (386) 236-3200

150 Magnolia Ave
Daytona Beach, FL 32114
Phone (386) 236-3215

3875 Tiger Bay Rd
Daytona Beach, FL 32124
Phone (386) 947-1328

356 Englenook Dr
Ste 142
Debary, FL 32713

105 W Calvin St
Deland, FL 32720
Phone (386) 254-1100

1251 N Stone St
Deland, FL 32720
Phone (386) 469-1544

107 Dr Martin Luther King Jr Ave
Ste 1
Inverness, FL 34450
Phone (352) 233-1814

717 SW Mlk Jr Ave
Ocala, FL 34471
Phone (352) 291-5555

330 Kay Larkin Dr
Palatka, FL 32177
Phone (386) 329-3780

200 San Sebastian Vw
Ste 2102
Saint Augustine, FL 32084

1880 San Sebastian Vw
Ste 4201
St Augustine, FL 32084

Interoperability endpoints

  • Direct secure messaging: helena.russell.p1@direct.smahealthcare.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1932855764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MAGNOLIA AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 SAN SEBASTIAN VW STE 4201",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320848684",
            "telephone_number": "800-539-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "HELENA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11026696",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN9499999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.