SAMANTHA HEATHER RUSSELL – Psychiatric/Mental Health Nurse Practitioner, NPI 1255878740
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,576 NURSE PRACTITIONER in KS
Provider Addresses for SAMANTHA HEATHER RUSSELL
25055 W VALLEY PKWY STE 220
OLATHE, KS 660618450
Phone: (913) 378-1061
Fax: (913) 904-1399
Type: Mailing
3901 Rainbow Blvd
Mail Stop 2018
Kansas City, KS 661608500
Phone: (913) 588-9941
Type: Location
University of Kansas Medical Center, 3901, Rainbow Boulevard, Kansas City, Wyandotte County, Kansas, 66160, United States
MAIL STOP 2018
KANSAS CITY, KS 661608500
Phone: (913) 588-9941
Type: Mailing
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: 2017-05-19
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20170519000501 | I | Nurse Practitioner | KS | 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 66061)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Psychiatry, Addiction Medicine | KS | |
| P S Y C H I A T R Y | KS |
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