PAIGE TARA RUSSELL (DNP, NP-C) – Family Nurse Practitioner, NPI 1205314622
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,802 NURSE PRACTITIONER in ID
Provider Addresses for PAIGE TARA RUSSELL (DNP, NP-C)
PO BOX 1343
SANDPOINT, ID 838640863
Phone: (208) 255-9005
Fax: (208) 263-2033
Type: Mailing
423 N Third Ave Ste 355
Sandpoint, ID 838641511
Phone: (208) 265-7070
Fax: (208) 265-7071
Type: Location
425 RUTH AVE
SANDPOINT, ID 838641959
Phone: (208) 255-9005
Type: Mailing
202, Euclid Avenue, Sandpoint, Bonner County, Idaho, 83864, United States
SANDPOINT, ID 838644939
Phone: (208) 263-6876
Type: Location
423 N 3RD AVE STE 210
SANDPOINT, ID 838641511
Phone: (208) 263-6876
Fax: (208) 263-2033
Type: Location
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 $87.
Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Exact Sciences Corporation ($34).
Total Amount
$87
General + Research + Ownership
Payments
4
Total payment records
General Amount
$87
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $34 |
| Sage Therapeutics, Inc. | $26 |
| ABBVIE INC. | $15 |
| PFIZER INC. | $13 |
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: 2018-10-29
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 |
|---|---|---|---|---|
| I20181029001507 | I | Nurse Practitioner | ID | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 279 | 175 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 185 | 185 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 179 | 132 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 155 | 112 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 75 | 62 | $0 |
Insurance plans in this area (ZIP 83864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | ID | |
| Nurse Practitioner | ID | |
| Nurse Practitioner | ID | |
| Diagnostic Radiology | ID | |
| Diagnostic Radiology | ID | |
| Orthopedic Surgery | ID | |
| Family Practice | WA | |
| Diagnostic Radiology | ID | |
| Internal Medicine | ID | |
| - | ID |
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