JENNIFER S RUSSELL (D.O.) – Obstetrics & Gynecology Physician, NPI 1205986858
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,538 OBSTETRICS/GYNECOLOGY in FL
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Provider Addresses for JENNIFER S RUSSELL (D.O.)
Blue Star Memorial Highway, Lindamoor on the Severn, Riverview Manor, Arnold, Anne Arundel County, Maryland, 21405, United States
RIVERVIEW, FL 335787439
Phone: (813) 875-8032
Fax: (813) 875-0227
Type: Location
2716, West Virginia Avenue, Tampa, Hillsborough County, Florida, 33607, United States
TAMPA, FL 33607
Phone: (813) 875-8032
Fax: (813) 875-0227
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 55 Open Payments records for all available years, with a total value of $1,207.
Total Amount is formed as General ($1,207) + Research ($0) + Ownership ($0) = $1,207.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Astellas Pharma US Inc ($175).
Total Amount
$1,207
General + Research + Ownership
Payments
55
Total payment records
General Amount
$1,207
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $175 |
| Sumitomo Pharma America, Inc. | $159 |
| Hologic Sales and Service, LLC | $138 |
| ABBVIE INC. | $95 |
| Sage Therapeutics, Inc. | $83 |
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: 2007-12-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071201000056 | I | Obstetrics/Gynecology | FL | TBD |
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.
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 33578)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| U R O L O G Y | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA |
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