MS. AMY RENEE RUSSELL (ARNP) – Primary Care Nurse Practitioner, NPI 1215184643
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for MS. AMY RENEE RUSSELL (ARNP)
369, Main Street, Crestview, Okaloosa County, Florida, 32536, United States
CRESTVIEW, FL 325363541
Phone: (850) 398-6963
Fax: (850) 398-8277
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 37 Open Payments records for all available years, with a total value of $956.
Total Amount is formed as General ($956) + Research ($0) + Ownership ($0) = $956.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($414).
Total Amount
$956
General + Research + Ownership
Payments
37
Total payment records
General Amount
$956
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $414 |
| Galderma Laboratories, L.P. | $227 |
| Novo Nordisk Inc | $120 |
| Lilly USA, LLC | $46 |
| Exact Sciences Corporation | $32 |
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: 2015-08-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150818004237 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 103 | 42 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 30 | 30 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 28 | 28 | $0 |
| 90471 | Administration of vaccine | 16 | 15 | $0 |
| 90674 | Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free | 15 | 15 | $0 |
Insurance plans in this area (ZIP 32536)
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