NEHA RUSSO – Family Nurse Practitioner, NPI 1063950665

NEHA RUSSO is a healthcare provider. based in Shelby township, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704283581 (MI). The NPI Number for NEHA RUSSO is 1063950665

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
NEHA RUSSO
NPI
1063950665
Phone
(586) 838-8860
Address
45657 MOUNT AUBURN AVE
Enumeration Date
3 February 2017
Last Update Date
3 February 2017

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5868635030
Graduation Year
2016 (10 years ago)
PAC ID
1658634498
Group Practice PAC ID
7113291998
Professional Enrollment ID
I20180410000486
Address ID
MI480385033CL42633RDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for NEHA RUSSO

  • Mount Auburn, Shelby Charter Township, Macomb County, Michigan, 48315, United States

    SHELBY TOWNSHIP, MI 483156096

    Phone: (586) 838-8860

    Type: Mailing

  • 21300, Kelly Road, Eastpointe, Macomb County, Michigan, 48021, United States

    EASTPOINTE, MI 480213232

    Phone: (586) 447-4200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 203 Open Payments records for all available years, with a total value of $4,162.

Total Amount is formed as General ($4,162) + Research ($0) + Ownership ($0) = $4,162.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,065).

Total Amount

$4,162

General + Research + Ownership

Payments

203

Total payment records

General Amount

$4,162

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2018-04-10

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
I20180410000486INurse PractitionerMITBD

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 48315)

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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: 7113291998View full group profile
NameSpecialtyState
Nurse PractitionerMI
Allergy/Immunology, Pediatric MedicineMI

Reviews

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Frequently asked questions

What is the standard ID for NEHA RUSSO in the U.S.?
In the U.S., NEHA RUSSO is identified by NPI 1063950665.
Does the public listing show NEHA RUSSO as active?
NEHA RUSSO's NPI record reflects an active status in NPPES.
What does the directory say NEHA RUSSO does?
Insurance directories may phrase it differently, but here NEHA RUSSO maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to NEHA RUSSO?
The directory associates NEHA RUSSO with Shelby Township, Michigan. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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