ANGELA P RUSSELL – Nurse Practitioner, NPI 1902826993

ANGELA P RUSSELL is a healthcare provider. based in Miami, Florida. specializing in Nurse Practitioner. They hold a License No. ARNP1082342 (FL). The NPI Number for ANGELA P RUSSELL is 1902826993

Main info

Female
50 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA P RUSSELL
NPI
1902826993
Phone
(305) 243-7520
Address
1475 NW 12TH AVE
Enumeration Date
20 July 2006
Last Update Date
18 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1976 (50 years ago)
PAC ID
4688790603
Group Practice PAC ID
3274795109
Professional Enrollment ID
I20100928000622
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

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Provider Addresses for ANGELA P RUSSELL

  • Sylvester Comprehensive Cancer Center, 1475, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    BOX 016960 M851

    MIAMI, FL 331361002

    Phone: (305) 243-7520

    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 4 Open Payments records for all available years, with a total value of $170.

Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($62).

Total Amount

$170

General + Research + Ownership

Payments

4

Total payment records

General Amount

$170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-09-28

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
I20100928000622INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes5546$0
99215Established patient office or other outpatient visit, 40-54 minutes2116$0
99213Established patient office or other outpatient visit, 20-29 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 33136)

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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: 3274795109View full group profile

Reviews

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Frequently asked questions

Does ANGELA P RUSSELL share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ANGELA P RUSSELL uses 1902826993.
Can I rely on ANGELA P RUSSELL being an active provider?
As of the registry snapshot, ANGELA P RUSSELL is marked active.
What is ANGELA P RUSSELL's specialty?
The listing groups ANGELA P RUSSELL with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is ANGELA P RUSSELL based?
ANGELA P RUSSELL is tied to Miami, Florida in the data we show; additional addresses may exist on the full record.
Why does ANGELA P RUSSELL have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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