Kimberly Russom, NP - Medicare Nurse Practitioner in Union City, TN

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Kimberly Russom, NP is a medicare enrolled "Nurse Practitioner - Family" in Union City, Tennessee. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hometown Urgent Care Of Dyersburg, Pllc and her current practice location is 1705 W Reelfoot Ave, Union City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 599-1102.

Kimberly Russom is licensed to practice in Tennessee (license number 31286) 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 1508506536.

Contact Information

Kimberly Russom, NP
1705 W Reelfoot Ave,
Union City, TN 38261-5569
(731) 599-1102
(731) 599-1107

Map and Direction




Provider's Profile

Full NameKimberly Russom
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1705 W Reelfoot Ave, Union City, Tennessee
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly Russom graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1508506536
  • Provider Enumeration Date: 03/29/2022
  • Last Update Date: 03/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6406242148
  • Enrollment ID: I20220406001999

Medical Identifiers

Medical identifiers for Kimberly Russom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508506536NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 31286 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hometown Urgent Care Of Dyersburg, Pllc88203492028

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Russom allows following entities to bill medicare on her behalf.
Entity NameApex Cardiology PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467494070
PECOS PAC ID: 5092702498
Enrollment ID: O20040428000358
Entity NameFast Pace Medical Clinic PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112
Entity NameHometown Urgent Care of Dyersburg, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003318593
PECOS PAC ID: 8820349202
Enrollment ID: O20180924003434

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. Kimberly Russom 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 AddressPractice Location Address
Kimberly Russom, NP
1705 W Reelfoot Ave,
Union City, TN 38261-5569

Ph: (731) 599-1102		Kimberly Russom, NP
1705 W Reelfoot Ave,
Union City, TN 38261-5569

Ph: (731) 599-1102

Reviews and Comments


Nurse Practitioner Nurses in Union City, TN

Alicia Nicole Jernigan, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1020 E Reelfoot Ave Ste 201, Union City, TN 38261
Phone: 901-271-1000    
Mrs. Tracey Kizer, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 700 Sherrill St, Suite B, Union City, TN 38261
Phone: 731-884-3900    Fax: 731-884-3901
Amy K Harris, N.P
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1109 E Reelfoot Ave Ste F, Union City, TN 38261
Phone: 731-884-1412    Fax: 731-884-1720
Trent Jim-e Theriac, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 399 E Highway 22, Union City, TN 38261
Phone: 731-592-0662    
Stephanie Lynn Harder, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1117 S Miles Ave, Suite 3, Union City, TN 38261
Phone: 731-885-4338    Fax: 731-885-4339
Amanda Lee Keown, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1412 E Reelfoot Ave, Union City, TN 38261
Phone: 731-885-5131    
Mrs. Kimberly Kaye Crowell, FNP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1720 E Reelfoot Ave Ste 200, Union City, TN 38261
Phone: 731-507-0272    Fax: 731-507-0273

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.