Morlyn Russell, FNPC, BSN, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R866907 Issued in MS

Practice address

500 W County Line Rd
Tougaloo, MS 39174-9700

Phone

(601) 957-6776

Fax

(601) 957-8840

NPI assigned

Mar 10, 2012

Last updated

Mar 28, 2014By 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 MS

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Mississippi Health Services, IncGroup PAC ID 2961398029, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Merit Health Central Hospital, Jackson, MS, CCN 250072

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Central Mississippi Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Jackson, MS
  • NPI 1730120502
  Medicare reassignment Care Compare group NPD
• Central Mississippi Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Jackson, MS
  • NPI 1003470758
  NPD
• Central Mississippi Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Tougaloo, MS
  • NPI 1982746087
  NPD (past)

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

• Jackson Hma LLC

  dba Merit Health Central

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1033163092
  Care Compare affiliation

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

{
    "created_epoch": "1331337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1992070825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W COUNTY LINE RD",
            "city": "TOUGALOO",
            "state": "MS",
            "postal_code": "391749700",
            "telephone_number": "601-957-6776",
            "fax_number": "601-957-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W COUNTY LINE RD",
            "city": "TOUGALOO",
            "state": "MS",
            "postal_code": "391749700",
            "telephone_number": "601-957-6776",
            "fax_number": "601-957-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MORLYN",
        "name_prefix": "Ms.",
        "credential": "FNPC, BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-10",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R866907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Mississippi Civic Improvement Association, Inc (Jackson Hinds Comprehensive Health Cneter)
• Central Mississippi Health Services, Inc
• Eppsinstituteforhealthyfamilyandcommunityliving,LLC (EppsInstituteforHealth)
• Premier Rehab
• V a North

• Family Nurse Practitioner in Tougaloo, MS
• Providers in Tougaloo, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.