MS. KAREN J RUSSELL (NP) – Acute Care Nurse Practitioner, NPI 1568415909

MS. KAREN J RUSSELL (NP) is a healthcare provider. based in Dover, Delaware. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. LG0000540 (DE). The NPI Number for MS. KAREN J RUSSELL (NP) is 1568415909

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MS. KAREN J RUSSELL (NP)
NPI
1568415909
Phone
(302) 674-3970
Address
640 S STATE ST
Enumeration Date
18 May 2006
Last Update Date
12 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
0547268583
Group Practice PAC ID
1658364740
Professional Enrollment ID
I20061129000275
Address ID
DE199013530DO640XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,273 NURSE PRACTITIONER in DE

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Provider Addresses for MS. KAREN J RUSSELL (NP)

  • Bayhealth Kent General, 640, South State Street, Morris Estates, Dover, Kent County, Delaware, 19901, United States

    742 BUILDING

    DOVER, DE 199013530

    Phone: (302) 674-3970

    Fax: (302) 672-2350

    Type: Mailing

  • 1100, Forrest Avenue, Woodstock Court, Dover, Kent County, Delaware, 19904, United States

    DOVER, DE 199043309

    Phone: (302) 672-4600

    Fax: (302) 672-4606

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $650.

Total Amount is formed as General ($650) + Research ($0) + Ownership ($0) = $650.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($379).

Total Amount

$650

General + Research + Ownership

Payments

33

Total payment records

General Amount

$650

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

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: 2006-11-29

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
I20061129000275INurse PractitionerDETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes305143$0
93016Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician2525$0
View full utilization report →

Insurance plans in this area (ZIP 19901)

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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: 1658364740View full group profile
NameSpecialtyState
Nurse PractitionerMD
H E M A T O L O G Y/ O N C O L O G YDE
Internal Medicine, Infectious DiseaseDE
-DE
Certified Nurse Midwife (Cnm)DE
O B S T E T R I C S/ G Y N E C O L O G YDE
Medical OncologyDE
Physician AssistantDE
Certified Nurse Midwife (Cnm)DE
Internal MedicineNY

Reviews

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Frequently asked questions

Is MS. KAREN J RUSSELL (NP) listed with a National Provider Identifier?
Yes — MS. KAREN J RUSSELL (NP) has NPI 1568415909 on file in the registry.
Would MS. KAREN J RUSSELL (NP) appear as active to a payer?
You can treat MS. KAREN J RUSSELL (NP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MS. KAREN J RUSSELL (NP)?
At a glance, MS. KAREN J RUSSELL (NP) is tied to Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MS. KAREN J RUSSELL (NP) located near Dover?
MS. KAREN J RUSSELL (NP) currently maps to Dover, Delaware in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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