Nathan W Russell, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN7542 Issued in TN

Practice address

166 E Main St
Hendersonville, TN 37075-2520

Phone

(615) 822-3000

Fax

(615) 822-0073

NPI assigned

May 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Vanderbilt University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coffee County Hospital Group IncGroup PAC ID 1456317783, 87 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Suncrest Home Health Home health agency, Clarksville, TN, CCN 447298
• Amedisys Home Health Home health agency, Brentwood, TN, CCN 447107
• Homefirst of Middle Tennessee, LLC Home health agency, Nashville, TN, CCN 447578
• Adoration Home Health, LLC Home health agency, Madison, TN, CCN 447581
• Lifeline Home Health Care Home health agency, Springfield, TN, CCN 447466
• Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035

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.

• Geriatric Consulting Group PC

  • Specialist
  • Hendersonville, TN
  • NPI 1972511665
  Medicare reassignment
• Coffee Medical Group LLC

  • Rural Health Clinic/Center
  • Manchester, TN
  • NPI 1700192028
  Care Compare group NPD (past)
• Bhupendra M Rajpura MD

  • Psychiatry Physician
  • Nashville, TN
  • NPI 1215094016
  NPD (past)

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

• Adoration Home Health, LLC

  • Home Health Agency
  • Madison, TN
  • NPI 1790161321
  Care Compare affiliation
• Amedisys Tennessee, LLC

  • Home Health Agency
  • Brentwood, TN
  • NPI 1972551794
  Care Compare affiliation
• Clarksville Health System, LLC

  • General Acute Care Hospital
  • Clarksville, TN
  • NPI 1285689794
  Care Compare affiliation
• Clarksville Home Care Services LLC

  • Home Health Agency
  • Clarksville, TN
  • NPI 1427003607
  Care Compare affiliation
• Homefirst of Middle Tennessee, LLC

  • Home Health Agency
  • Nashville, TN
  • NPI 1952909780
  Care Compare affiliation
• Lifeline Home Health Care of Springfield, LLC

  • Home Health Agency
  • Springfield, TN
  • NPI 1659596708
  Care Compare affiliation

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1992708911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 E MAIN ST",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752520",
            "telephone_number": "615-822-3000",
            "fax_number": "615-822-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 E MAIN ST",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752520",
            "telephone_number": "615-822-3000",
            "fax_number": "615-822-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "NATHAN",
        "middle_name": "W",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "RN113668",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN7542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3900616 (3159250)",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gilbert Joseph Roth, D.MIN.
• Sheree Rucker-Grafton
• Katherine Caroline Rudy, LMFT
• Sierra Russ
• Amanda Jean Russell, OTD, OTR/L
• Donald J Russo, M.D.
• RWW Outpatient Rehab Services, LLC
• RWW Senior Living Outpatient Rehab Services, LLC
• Michael Nixon Ryan, M. D.
• Sarah Elizabeth Ryan, NURSE PRACTITIONER

• Nurse Practitioner in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.