JOHN RUSSELL (ARNP) – Nurse Practitioner, NPI 1770761348

JOHN RUSSELL (ARNP) is a healthcare provider. based in Temple terrace, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. APRN1818802 (FL). The NPI Number for JOHN RUSSELL (ARNP) is 1770761348

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
JOHN RUSSELL (ARNP)
NPI
1770761348
Phone
(813) 871-8200
Address
12470 TELECOM DR STE 300W
Enumeration Date
6 February 2008
Last Update Date
8 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3523652550
Graduation Year
2001 (25 years ago)
PAC ID
0547315053
Group Practice PAC ID
3274676606
Professional Enrollment ID
I20090908000126
Address ID
FL347487633LE1070XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:18State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for JOHN RUSSELL (ARNP)

  • Telecom Drive, Temple Terrace, Hillsborough County, Florida, 33637, United States

    TEMPLE TERRACE, FL 336370904

    Phone: (813) 871-8200

    Fax: (813) 357-5501

    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)

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: 2009-09-08

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
I20090908000126INurse 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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes68797$0
View full utilization report →

Insurance plans in this area (ZIP 33637)

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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: 3274676606View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineFL

Reviews

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Frequently asked questions

What unique ID ties claims to JOHN RUSSELL (ARNP)?
NPI 1770761348 is assigned to JOHN RUSSELL (ARNP) under the national enumeration system.
Is JOHN RUSSELL (ARNP) currently active in the NPI registry?
CMS-published data lists JOHN RUSSELL (ARNP) as an active registrant.
Can you summarize JOHN RUSSELL (ARNP)'s specialty in plain language?
Clinically, the directory lists JOHN RUSSELL (ARNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for JOHN RUSSELL (ARNP)?
We surface Temple Terrace, Florida for JOHN RUSSELL (ARNP) based on available NPPES addresses.
How can I contact JOHN RUSSELL (ARNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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