KRISTINE RUSSELL (CRNP) – Acute Care Nurse Practitioner, NPI 1073786232

KRISTINE RUSSELL (CRNP) is a healthcare provider. based in Baltimore, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. R138506 (MD). The NPI Number for KRISTINE RUSSELL (CRNP) is 1073786232

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINE RUSSELL (CRNP)
NPI
1073786232
Phone
Not provided
Address
22 S GREENE ST
Enumeration Date
9 April 2008
Last Update Date
9 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4103285300
Graduation Year
2006 (20 years ago)
PAC ID
0648430231
Group Practice PAC ID
1658262472
Professional Enrollment ID
I20140724001892
Address ID
MD212011734BA419XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

6,763 NURSE PRACTITIONER in MD

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Provider Addresses for KRISTINE RUSSELL (CRNP)

  • University of Maryland Medical Center, 22, South Greene Street, Ridgely's Delight, Baltimore, Maryland, 21201, United States

    CARDIAC SURGERY, N4W94

    BALTIMORE, MD 212011544

    Phone:

    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 2 Open Payments records for all available years, with a total value of $165.

Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.

Last reported payment date: 2024-02-23 • Largest payer in this snapshot: ATRICURE, INC. ($145).

Total Amount

$165

General + Research + Ownership

Payments

2

Total payment records

General Amount

$165

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-23

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: 2014-07-24

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
I20140724001892INurse PractitionerMDTBD

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 21201)

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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: 1658262472View full group profile
NameSpecialtyState
Plastic And Reconstructive Surgery, General SurgeryMD
Thoracic Surgery, General SurgeryMD
General SurgeryMD
Urology, General SurgeryMD
-MD
U R O L O G YMD
General Surgery, Surgical OncologyMD
Plastic And Reconstructive SurgeryMD
Cardiac SurgeryMD
General Practice, Surgical Oncology, General SurgeryDE

Reviews

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Frequently asked questions

What unique ID ties claims to KRISTINE RUSSELL (CRNP)?
NPI 1073786232 is assigned to KRISTINE RUSSELL (CRNP) under the national enumeration system.
Is KRISTINE RUSSELL (CRNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize KRISTINE RUSSELL (CRNP)'s specialty in plain language?
Clinically, the directory lists KRISTINE RUSSELL (CRNP) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for KRISTINE RUSSELL (CRNP)?
We surface Baltimore, Maryland for KRISTINE RUSSELL (CRNP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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