Stephanie Alice Russell, RDN, LD in Bend, OR - Medicare Registered Dietitian Or Nutrition Professional Provider

Stephanie Alice Russell, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in Bend, Oregon. She graduated from medical school in 2005 and has 20 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. Her current practice location is 369 Ne Revere Ave Ste 105, Bend, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 323-3488.

Stephanie Alice Russell is licensed to practice in Oregon (license number LD-D-10255383) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1093983959.

Contact Information

	Stephanie Alice Russell, RDN, LD
	369 Ne Revere Ave Ste 105, Bend, OR 97701-4082
	(541) 323-3488
	(541) 323-3483

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Alice Russell
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	20 Years
Location	369 Ne Revere Ave Ste 105, Bend, Oregon
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephanie Alice Russell graduated from medical school in 2005

NPI Data:

NPI Number: 1093983959
Provider Enumeration Date: 02/13/2008
Last Update Date: 11/26/2025

Medicare PECOS Information:

PECOS PAC ID: 0840701579
Enrollment ID: I20250618002602

Medical Identifiers

Medical identifiers for Stephanie Alice Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093983959	NPI	-	NPPES
987692	Other	WA	CDR
DI00002073	Other	WA	DOH/CD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	987692 (Washington)	Secondary
133V00000X	Dietitian, Registered	LD-D-10255383 (Oregon)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Alice Russell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stephanie Alice Russell, RDN, LD 369 Ne Revere Ave Ste 105, Bend, OR 97701-4082 Ph: (541) 323-3488	Stephanie Alice Russell, RDN, LD 369 Ne Revere Ave Ste 105, Bend, OR 97701-4082 Ph: (541) 323-3488

Reviews and Comments

Dietitian, Registered in Bend, OR

Karen Gnass, RDLD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321
Rachel Evon Elzinga, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2036 Ne Williamson Ct, Bend, OR 97701 Phone: 541-706-6348
Mrs. Shelly Schwartz, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-408-6808
Audrey Nicole Hester, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2200 Ne Professional Ct, Bend, OR 97701 Phone: 541-389-6313 Fax: 541-389-8760
Mrs. Heather Ann Helmy, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19252 Goose Creek Ct, Bend, OR 97702 Phone: 503-913-6042
Gabrielle Wade Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 225 Nw Skyliner Summit Loop, Bend, OR 97703 Phone: 914-473-8949

Stephanie Alice Russell, RDN, LD - Medicare Dietitian in Bend, OR