Ms Tina Marie Russell, MSN, APRN, FNP-C - Medicare Nurse Practitioner in Jackson, TN

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Ms Tina Marie Russell, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Tennessee. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Crossroads Urgent Care Pllc and her current practice location is 15 Old Humboldt Rd, Jackson, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 256-6456.

Ms Tina Marie Russell is licensed to practice in Tennessee (license number APN0000028980) 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 1295328342.

Contact Information

Ms Tina Marie Russell, MSN, APRN, FNP-C
15 Old Humboldt Rd,
Jackson, TN 38305-3506
(731) 256-6456
(731) 256-6475

Map and Direction




Provider's Profile

Full NameMs Tina Marie Russell
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location15 Old Humboldt Rd, Jackson, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Tina Marie Russell graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1295328342
  • Provider Enumeration Date: 02/18/2021
  • Last Update Date: 04/18/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6002210598
  • Enrollment ID: I20210805000803

Medical Identifiers

Medical identifiers for Ms Tina Marie Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295328342NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APN0000028980 (Tennessee)Primary
163WG0000XRegistered Nurse - General Practice 153147 (Tennessee)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jackson-madison County General HospitalJackson, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Crossroads Urgent Care Pllc8325117484181

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 Tina Marie Russell allows following entities to bill medicare on her behalf.
Entity NameDyersburg Family Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174712780
PECOS PAC ID: 5991793879
Enrollment ID: O20040501000299
Entity NameCrossroads Urgent Care PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366644361
PECOS PAC ID: 8325117484
Enrollment ID: O20080515000672
Entity NameImind Mental Health and Wellness LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144714882
PECOS PAC ID: 8426307364
Enrollment ID: O20180825000103
Entity NameImind Geriatrics and Behavioral Health LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265174775
PECOS PAC ID: 2163800368
Enrollment ID: O20220531001450
Entity NameBH Services Southeast 1 PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164251526
PECOS PAC ID: 7012457054
Enrollment ID: O20241023003002

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 Tina Marie 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 AddressPractice Location Address
Ms Tina Marie Russell, MSN, APRN, FNP-C
15 Old Humboldt Rd Ste A,
Jackson, TN 38305-3506

Ph: (731) 256-6456		Ms Tina Marie Russell, MSN, APRN, FNP-C
15 Old Humboldt Rd,
Jackson, TN 38305-3506

Ph: (731) 256-6456

Reviews and Comments


Nurse Practitioner Nurses in Jackson, TN

Katherine E Wyatt, A.P.R.N.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 145 Innovation Dr, Jackson, TN 38305
Phone: 731-422-0213    Fax: 731-660-8301
Amy K Lawrence, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305
Phone: 731-422-0213    Fax: 731-660-8380
Lauren Williams,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1047 Union University Dr, Jackson, TN 38305
Phone: 731-256-0035    
Anna K Younger, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 145 Innovation Dr, Jackson, TN 38305
Phone: 731-422-0213    Fax: 731-660-8301
Kirsten Siler,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 27a Medical Center Drive, Jackson, TN 38301
Phone: 731-541-3310    
Kimberlie A Simpson, APRN, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 23 Independence Ln, Jackson, TN 38305
Phone: 731-617-1483    
Jana Touton, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 409 Walker Rd Ste B, Jackson, TN 38305
Phone: 931-306-2647    Fax: 903-459-6349

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.