| Judith Ann Russell, NP-C | |
| 
					2817 Saint Johns Blvd, Joplin, MO 64804-1563  | |
| (417) 625-2300 | |
| (417) 625-2005 | 
| Full Name | Judith Ann Russell | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 2817 Saint Johns Blvd, Joplin, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1982859237 | NPI | - | NPPES | 
| 200249990A | Medicaid | OK | |
| 200587240C | Medicaid | KS | |
| 1982859237 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 119130 (Missouri) | Primary | 
| Entity Name | Mercy Hospital Columbus | 
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital | 
| Entity Identifiers | NPI Number: 1871829812 PECOS PAC ID: 4880735919 Enrollment ID: O20100111000619  | 
| Entity Name | Mercy Hospital Columbus | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1619203452 PECOS PAC ID: 4880735919 Enrollment ID: O20100116000185  | 
| Entity Name | Green Country Emergency Physicians Group Of Tulsa, Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1972698553 PECOS PAC ID: 0345247052 Enrollment ID: O20150210000766  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Judith Ann Russell, NP-C 2817 Saint Johns Blvd, Joplin, MO 64804-1563 Ph: (417) 625-2300  | Judith Ann Russell, NP-C 2817 Saint Johns Blvd, Joplin, MO 64804-1563 Ph: (417) 625-2300  | 
Thad L Taylor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-556-2300 Fax: 417-556-2906  | |
Ashley Southern-devoe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3401 Mcintosh Cir Ste 200, Joplin, MO 64804 Phone: 417-347-3703  | |
Kevin Michael Teel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2829 S. Jackson Avenue, Joplin, MO 64804 Phone: 417-624-0440 Fax: 417-624-9652  | |
Brittany Ann Putt, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2719 E 32nd St, Joplin, MO 64804 Phone: 417-782-5522 Fax: 417-782-5866  | |
Sandra J Tinney, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3202 Mcintosh Circle, Suite 101, Joplin, MO 64804 Phone: 417-781-9200 Fax: 417-781-9471  | |
Susan Bounous, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2613 S Main St Ste D, Joplin, MO 64804 Phone: 417-553-7920 Fax: 877-464-5922  | |
Crystal Joy Dyer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1901 E 32nd St, Suite 20, Joplin, MO 64804 Phone: 417-781-2046 Fax: 417-781-2086  |