SHEKEITHA RUSSELL – Family Nurse Practitioner, NPI 1669239224

SHEKEITHA RUSSELL is a healthcare provider. based in Birmingham, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-121383 (AL). The NPI Number for SHEKEITHA RUSSELL is 1669239224

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
SHEKEITHA RUSSELL
NPI
1669239224
Phone
(205) 545-5088
Address
1500 1ST AVE N UNIT 3
Enumeration Date
29 February 2024
Last Update Date
29 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2562455241
Graduation Year
2023 (3 years ago)
PAC ID
0244677896
Group Practice PAC ID
9032135504
Professional Enrollment ID
I20240319002563
Address ID
AL351502975SY209XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for SHEKEITHA RUSSELL

  • 1500 1ST AVE N UNIT 3

    BIRMINGHAM, AL 352031866

    Phone: (205) 545-5088

    Type: Mailing

  • 2508 HIGHWAY 280

    ALEXANDER CITY, AL 350103679

    Phone: (256) 414-3013

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-03-19

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
I20240319002563INurse 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 35203)

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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: 9032135504View full group profile

Reviews

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Frequently asked questions

Does SHEKEITHA RUSSELL share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SHEKEITHA RUSSELL uses 1669239224.
Can I rely on SHEKEITHA RUSSELL being an active provider?
As of the registry snapshot, SHEKEITHA RUSSELL is marked active.
What taxonomy line describes SHEKEITHA RUSSELL?
For research purposes, treat SHEKEITHA RUSSELL as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for SHEKEITHA RUSSELL?
SHEKEITHA RUSSELL's geographic hint is Birmingham, Alabama in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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