Kirstin Jenna Russell, PMHNP in Washington, MO

Kirstin Jenna Russell, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Washington, Missouri. 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 Indiana University Health Care Associates Inc and her current practice location is 851 E 5th St Ste 154a, Washington, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 266-7900.

Kirstin Jenna Russell is licensed to practice in Missouri (license number 2025040266) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700551918.

Contact Information

	Kirstin Jenna Russell, PMHNP
	851 E 5th St Ste 154a, Washington, MO 63090-3135
	(636) 266-7900
	(636) 266-7901

Map and Direction

Provider's Profile

Full Name	Kirstin Jenna Russell
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	851 E 5th St Ste 154a, Washington, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kirstin Jenna Russell graduated from nursing school in 2021

NPI Data:

NPI Number: 1700551918
Provider Enumeration Date: 08/10/2021
Last Update Date: 12/10/2025

Medicare PECOS Information:

PECOS PAC ID: 7517355316
Enrollment ID: I20211028000158

Medical Identifiers

Medical identifiers for Kirstin Jenna Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700551918	NPI	-	NPPES
300055577	Medicaid	IN
264430D16	Other	IN	MEDICARE PTAN
1102264002	Other	IN	ANTHEM PTAN
Q00332599	Other	IN	RAILROAD PTAN
000001614748	Other	IN	ANTHEM PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71011436A (Indiana)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2025040266 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Indiana University Health Care Associates Inc	5799755864	914

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. Kirstin Jenna Russell allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955

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. Kirstin Jenna 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
Kirstin Jenna Russell, PMHNP 851 E 5th St Ste 154a, Washington, MO 63090-3135 Ph: (636) 266-7900	Kirstin Jenna Russell, PMHNP 851 E 5th St Ste 154a, Washington, MO 63090-3135 Ph: (636) 266-7900

Reviews and Comments

Nurse Practitioner Nurses in Washington, MO

Mrs. Luz Elena Alfonsi, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 Elm St, Suite 202, Washington, MO 63090 Phone: 636-390-4071 Fax: 636-390-8908
Amy Lee Swoboda, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 Patients First Dr, Washington, MO 63090 Phone: 636-239-4100
Mrs. Ann Marie Hoch, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 851 E 5th St Ste 312, Washington, MO 63090 Phone: 636-390-9100
Victoria L Yenzer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr, Washington, MO 63090 Phone: 636-239-7500
Mrs. Lisa Anne Dickinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 851 E 5th St, Washington, MO 63090 Phone: 636-239-1101
Corinne Ann Coppinger, RNC, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 851 E 5th St, Suite 200, Washington, MO 63090 Phone: 636-239-8585
Ms. Alexandria Colleen Grodie, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 851 E 5th St Ste 154, Washington, MO 63090 Phone: 636-266-7900

Kirstin Jenna Russell, PMHNP - Medicare Nurse Practitioner in Washington, MO