RILEY L RUSSELL (FNP-C) – Family Nurse Practitioner, NPI 1942049937

RILEY L RUSSELL (FNP-C) is a healthcare provider. based in Kansas city, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. TMP-162402 (KS). The NPI Number for RILEY L RUSSELL (FNP-C) is 1942049937

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
RILEY L RUSSELL (FNP-C)
NPI
1942049937
Phone
(913) 342-2552
Address
21 N 12TH ST
Enumeration Date
21 May 2024
Last Update Date
21 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9133422552
Graduation Year
2023 (3 years ago)
PAC ID
4284120817
Group Practice PAC ID
9739447921
Professional Enrollment ID
I20260102000918
Address ID
KS661025104KA21XXXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,551 NURSE PRACTITIONER in KS

Provider Addresses for RILEY L RUSSELL (FNP-C)

  • 21 N 12TH ST

    KANSAS CITY, KS 661025161

    Phone: (913) 342-2552

    Type: Location

  • 2706 W 79TH ST

    PRAIRIE VILLAGE, KS 662083915

    Phone: (785) 562-8697

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: PFIZER INC. ($15).

Total Amount

$29

General + Research + Ownership

Payments

2

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2026-01-02

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
I20260102000918INurse PractitionerKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66102)

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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: 9739447921View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerKS
Family PracticeKS
Nurse PractitionerMO
Family PracticeCO
Family PracticeKS
Nurse PractitionerKS
Nurse PractitionerKS
Nurse PractitionerMO

Reviews

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Frequently asked questions

How is RILEY L RUSSELL (FNP-C) identified in CMS data?
CMS-hosted NPPES data lists RILEY L RUSSELL (FNP-C) with NPI 1942049937.
Can I rely on RILEY L RUSSELL (FNP-C) being an active provider?
As of the registry snapshot, RILEY L RUSSELL (FNP-C) is marked active.
What healthcare role does RILEY L RUSSELL (FNP-C) hold?
Scheduling teams often label RILEY L RUSSELL (FNP-C) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does RILEY L RUSSELL (FNP-C) list a practice location?
Patients near Kansas City, Kansas may find RILEY L RUSSELL (FNP-C) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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