ALLISON SHULL RUSSELL (FNP) – Family Nurse Practitioner, NPI 1609622653

ALLISON SHULL RUSSELL (FNP) is a healthcare provider. based in Athens, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 1-174172 (AL). The NPI Number for ALLISON SHULL RUSSELL (FNP) is 1609622653

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ALLISON SHULL RUSSELL (FNP)
NPI
1609622653
Phone
(256) 787-2924
Address
721 W MARKET ST STE D
Enumeration Date
29 April 2024
Last Update Date
19 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2569746550
Graduation Year
2023 (3 years ago)
PAC ID
6800323577
Group Practice PAC ID
6406895382
Professional Enrollment ID
I20241218003585
Address ID
AL356501900MO10939CXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for ALLISON SHULL RUSSELL (FNP)

  • 721 W MARKET ST STE D

    ATHENS, AL 356112678

    Phone: (256) 787-2924

    Fax: (256) 408-9971

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Medline Industries LP ($24).

Total Amount

$57

General + Research + Ownership

Payments

3

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241218003585INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35611)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406895382View full group profile
NameSpecialtyState
Family PracticeAL
Nurse PractitionerAL
Nurse PractitionerAL
Emergency Medicine, Internal MedicineFL
Family Practice, Internal MedicineAL
Nurse PractitionerAL
Emergency Medicine, General SurgeryAL
-AL
Emergency MedicineAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Can I cross-check ALLISON SHULL RUSSELL (FNP) using NPI 1609622653?
NPI 1609622653 belongs to ALLISON SHULL RUSSELL (FNP); compare other details if you need extra assurance.
Is ALLISON SHULL RUSSELL (FNP) still an active registrant?
ALLISON SHULL RUSSELL (FNP) carries an active NPI according to the public dataset.
What clinical focus is listed for ALLISON SHULL RUSSELL (FNP)?
At a glance, ALLISON SHULL RUSSELL (FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ALLISON SHULL RUSSELL (FNP) associated with Athens?
Public fields place ALLISON SHULL RUSSELL (FNP) around Athens, Alabama. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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