Nicole E Russell, NP - Medicare Nurse Practitioner in North Syracuse, NY

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Nicole E Russell, NP is a medicare enrolled "Nurse Practitioner - Family" in North Syracuse, New York. Her current practice location is 5496 E Taft Rd, North Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 552-6700.

Nicole E Russell is licensed to practice in New York (license number 337402) 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 1366795551.

Contact Information

Nicole E Russell, NP
5496 E Taft Rd,
North Syracuse, NY 13212-3784
(315) 552-6700
(315) 552-6701

Map and Direction




Provider's Profile

Full NameNicole E Russell
GenderFemale
SpecialityNurse Practitioner - Family
Location5496 E Taft Rd, North Syracuse, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366795551
  • Provider Enumeration Date: 10/25/2012
  • Last Update Date: 02/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9436302437
  • Enrollment ID: I20121224000007

Medical Identifiers

Medical identifiers for Nicole E Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366795551NPI-NPPES
03519028MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 337402 (New York)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. Nicole E Russell allows following entities to bill medicare on her behalf.
Entity NameUpstate Family And Preventive Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073988911
PECOS PAC ID: 6800185711
Enrollment ID: O20160517000789
Entity NameBrookview Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871965855
PECOS PAC ID: 9537420450
Enrollment ID: O20180309000532

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. Nicole E 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
Nicole E Russell, NP
5496 E Taft Rd,
North Syracuse, NY 13212-3784

Ph: (315) 552-6700		Nicole E Russell, NP
5496 E Taft Rd,
North Syracuse, NY 13212-3784

Ph: (315) 552-6700

Reviews and Comments


Nurse Practitioner Nurses in North Syracuse, NY

Jennifer Cavallaro, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 792 N Main St Ste 100b, North Syracuse, NY 13212
Phone: 315-458-4623    
Erin M Carroll, NP, CNM
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Medicare: Not Enrolled in Medicare
Practice Location: 792 N Main St Ste 200, North Syracuse, NY 13212
Phone: 315-458-8700    Fax: 315-701-1075
Jennifer Lynnrushak Baldwin, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 792 N Main St, North Syracuse, NY 13212
Phone: 315-452-4623    
Ursula M Vaccaro, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5496 East Taft Road, North Syracuse, NY 13212
Phone: 315-552-6700    Fax: 315-552-6701
Zoryana Moreau, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5496 E Taft Rd, North Syracuse, NY 13212
Phone: 315-552-6700    Fax: 315-552-6701
Jill M Agne, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5229 Witz Drive, North Syracuse, NY 13212
Phone: 315-701-9500    
Krista Switzer, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5496 E Taft Rd, North Syracuse, NY 13212
Phone: 315-552-6700    Fax: 315-552-6701

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.