MS. JENNIFER RUSSELL (ARNP) – Nurse Practitioner, NPI 1063758944

MS. JENNIFER RUSSELL (ARNP) is a healthcare provider. based in Tallahassee, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. ARNP9198441 (FL). The NPI Number for MS. JENNIFER RUSSELL (ARNP) is 1063758944

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MS. JENNIFER RUSSELL (ARNP)
NPI
1063758944
Phone
(850) 878-8235
Address
2770 Capital Medical Blvd
Enumeration Date
20 December 2012
Last Update Date
2 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3126350973
Graduation Year
2012 (14 years ago)
PAC ID
2466607783
Group Practice PAC ID
4486997426
Professional Enrollment ID
I20130312000243
Address ID
FL323084415TA3333XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MS. JENNIFER RUSSELL (ARNP)

  • 2770 Capital Medical Blvd

    Suite 200

    Tallahassee, FL 323088417

    Phone: (850) 878-8235

    Type: Location

  • 2770 CAPITAL MEDICAL BLVD

    SUITE 200

    TALLAHASSEE, FL 323088417

    Phone: (850) 878-8235

    Type: Mailing

  • PO BOX 7410884

    CHICAGO, IL 606740884

    Phone: (702) 899-0595

    Fax: (702) 977-1496

    Type: Mailing

  • 3333 CAPITAL MEDICAL BLVD

    TALLAHASSEE, FL 323084415

    Phone: (872) 231-3162

    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: 2013-03-12

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
I20130312000243INurse PractitionerFLTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes29955$0
View full utilization report →

Insurance plans in this area (ZIP 32308)

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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: 4486997426View full group profile
NameSpecialtyState
-FL
Nurse PractitionerIL
Physical Medicine And RehabilitationFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerIL
Nurse PractitionerFL
Nurse PractitionerFL
Physical Medicine And RehabilitationFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What federal number belongs to MS. JENNIFER RUSSELL (ARNP)?
The federal identifier for MS. JENNIFER RUSSELL (ARNP) is NPI 1063758944.
Is MS. JENNIFER RUSSELL (ARNP)'s NPI currently valid?
The extract we use shows MS. JENNIFER RUSSELL (ARNP) as active.
Does MS. JENNIFER RUSSELL (ARNP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for MS. JENNIFER RUSSELL (ARNP). Clinical services aligned with this taxonomy classification.
Where is MS. JENNIFER RUSSELL (ARNP)'s primary listing?
We display Tallahassee, Florida because that is what the record indicates for MS. JENNIFER RUSSELL (ARNP).
What if Tallahassee, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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