MS. KATHLEEN RUSSO (ARNP) – Family Nurse Practitioner, NPI 1790784932
Family 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. KATHLEEN RUSSO (ARNP)
PO BOX 3492
PLACIDA, FL 339463492
Phone: (941) 698-0703
Type: Mailing
Englewood Community Hospital, 700, Medical Boulevard, Englewood, Sarasota County, Florida, 34223, United States
ENGLEWOOD, FL 342233964
Phone: (941) 475-6571
Type: Location
2061 Englewood Rd Ste 5
Englewood, FL 342231749
Phone: (941) 473-8881
Fax: (941) 475-0801
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: 2025-04-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20211005002490 | I | Nurse Practitioner | MT | TBD |
| I20230417002104 | I | Nurse Practitioner | TX | TBD |
| I20250401003661 | I | Nurse Practitioner | NC | 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 33946)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| - | VA | |
| Emergency Medicine | VA | |
| Nurse Practitioner | GA | |
| Emergency Medicine | NC | |
| - | TN | |
| Emergency Medicine | NC | |
| Physician Assistant | GA | |
| Internal Medicine | VA | |
| Nurse Practitioner | VA |
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