Ms Shelly Rae Russeff, APRN-CNP - Medicare Nurse Practitioner in Pauls Valley, OK

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Ms Shelly Rae Russeff, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Pauls Valley, Oklahoma. Her current practice location is 105 N Indian Meridian Rd, Pauls Valley, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 207-9800.

Ms Shelly Rae Russeff is licensed to practice in Oklahoma (license number R0058066) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053710053.

Contact Information

Ms Shelly Rae Russeff, APRN-CNP
105 N Indian Meridian Rd,
Pauls Valley, OK 73075-9236
(405) 207-9800
(405) 207-9898

Map and Direction




Provider's Profile

Full NameMs Shelly Rae Russeff
GenderFemale
SpecialityNurse Practitioner - Family
Location105 N Indian Meridian Rd, Pauls Valley, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053710053
  • Provider Enumeration Date: 08/15/2014
  • Last Update Date: 03/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9638488430
  • Enrollment ID: I20151019000323

Medical Identifiers

Medical identifiers for Ms Shelly Rae Russeff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053710053NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R0058066 (Oklahoma)Primary

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. Ms Shelly Rae Russeff allows following entities to bill medicare on her behalf.
Entity NameBoard Of Regents Of The University Of Oklahoma - Ou Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801869250
PECOS PAC ID: 2860304334
Enrollment ID: O20031103000607
Entity NameMedical Resource Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104056365
PECOS PAC ID: 4082753918
Enrollment ID: O20100830000840
Entity NameMedberry Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487301867
PECOS PAC ID: 0244627099
Enrollment ID: O20220715000227

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. Ms Shelly Rae Russeff 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
Ms Shelly Rae Russeff, APRN-CNP
301 E Seminole St Apt 2,
Wynnewood, OK 73098-5629

Ph: (405) 207-1116		Ms Shelly Rae Russeff, APRN-CNP
105 N Indian Meridian Rd,
Pauls Valley, OK 73075-9236

Ph: (405) 207-9800

Reviews and Comments


Nurse Practitioner Nurses in Pauls Valley, OK

Letitia Lynn Jackson, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2000 W Grant Ave Ste 2, Pauls Valley, OK 73075
Phone: 405-238-3900    Fax: 405-238-3903
Micki Richardson, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 105 N Indian Meridian Rd, Pauls Valley, OK 73075
Phone: 405-207-9800    
Michelle Martin,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 106 Burr Ave, Pauls Valley, OK 73075
Phone: 405-238-4633    
Mary Melinda Dennis, APRN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 105 N Indian Meridian Rd, Pauls Valley, OK 73075
Phone: 405-207-9800    Fax: 405-207-9898
Brett Avery Baldwin, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 415 W Guy Ave, Pauls Valley, OK 73075
Phone: 405-397-0035    Fax: 405-238-9342
Marcus Shane Wahl, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 200 Melville Dr, Pauls Valley, OK 73075
Phone: 405-224-8111    Fax: 405-825-4530

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.