Judith Ann Russell, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

119130 Issued in MO

Practice address

2817 Saint Johns Blvd
Joplin, MO 64804-1563

Phone

(417) 625-2300

Fax

(417) 625-2005

NPI assigned

Nov 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Green Country Emergency Physicians Group of Tulsa, PLLCGroup PAC ID 0345247052, 107 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Columbus Hospital, Columbus, KS, CCN 171308
• Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
• Girard Medical Center Hospital, Girard, KS, CCN 171376
• Mercy Hospital Carthage Hospital, Carthage, MO, CCN 261338

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 and National Provider Directory roles.

• Green Country Emergency Physicians Group of Tulsa PLLC

  • Emergency Medicine Physician
  • Tulsa, OK
  • NPI 1972698553

  KS, MO

  Medicare reassignment Care Compare group NPD
• Mercy Clinic Joplin LLC

  • Family Medicine Physician
  • Joplin, MO
  • NPI 1215264817
  Medicare reassignment NPD
• Mercy Hospital Carthage

  • Critical Access Hospital
  • Carthage, MO
  • NPI 1003201955
  Medicare reassignment NPD
• Hospital District No 1 Crawford County

  • Nurse Practitioner
  • Girard, KS
  • NPI 1508897182
  Medicare reassignment NPD
• Hospital District No 1 Crawford County

  • Critical Access Hospital
  • Girard, KS
  • NPI 1578505095
  Medicare reassignment NPD
• Mercy Hospital Columbus

  • Critical Access Hospital
  • Columbus, KS
  • NPI 1619203452
  Medicare reassignment NPD
• Mercy Hospital Columbus

  • Critical Access Hospital
  • Columbus, KS
  • NPI 1871829812
  Medicare reassignment NPD
• Hospital District No 1 Crawford County

  • Rural Health Clinic/Center
  • Fort Scott, KS
  • NPI 1093426470
  NPD
• Sjmgroup

  • Endocrinology, Diabetes & Metabolism Physician
  • Englewood, CO
  • NPI 1376590034
  NPD (past)

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

• Mercy Hospital Carthage

  • Critical Access Hospital
  • Carthage, MO
  • NPI 1003201955
  Care Compare affiliation
• Mercy Hospital Carthage

  • General Acute Care Hospital
  • Carthage, MO
  • NPI 1396012753
  Care Compare affiliation
• Mercy Hospital Joplin

  • General Acute Care Hospital
  • Joplin, MO
  • NPI 1700112745
  Care Compare affiliation
• Hospital District No 1 Crawford County

  • Critical Access Hospital
  • Girard, KS
  • NPI 1578505095
  Care Compare affiliation
• Mercy Hospital Columbus

  • Critical Access Hospital
  • Columbus, KS
  • NPI 1871829812
  Care Compare affiliation

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

{
    "created_epoch": "1227830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1982859237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 SAINT JOHNS BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041563",
            "telephone_number": "417-625-2300",
            "fax_number": "417-625-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 SAINT JOHNS BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041563",
            "telephone_number": "417-625-2300",
            "fax_number": "417-625-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-28",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "119130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200249990A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200587240C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982859237",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Ruggeberg
• Larry Douglas Ruple, PT
• Theresa L Ruple
• Jessica Louann Rush, CRNA
• Emily D Russell
• Sara R. Ruth-Farris, LMFT
• Alivia Ryann Rutledge
• Ryan Ford DC LLC
• Ryan S. Ford DC
• Danny Ryan

• Family Nurse Practitioner in Joplin, MO
• Providers in Joplin, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.