CAROL J. RUSSELL (FNP) – Family Nurse Practitioner, NPI 1124274857

CAROL J. RUSSELL (FNP) is a healthcare provider. based in Kansas city, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 083018 (MO). The NPI Number for CAROL J. RUSSELL (FNP) is 1124274857

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
CAROL J. RUSSELL (FNP)
NPI
1124274857
Phone
(417) 730-6430
Address
PO BOX 802843
Enumeration Date
13 August 2008
Last Update Date
5 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4173541580
Graduation Year
2006 (20 years ago)
PAC ID
1052489408
Group Practice PAC ID
0345236667
Professional Enrollment ID
I20081013000107
Address ID
MO657088258MO1000X60XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for CAROL J. RUSSELL (FNP)

  • PO BOX 802843

    KANSAS CITY, MO 641802843

    Phone: (417) 730-6430

    Fax: (417) 269-7567

    Type: Mailing

  • 815, North Lincoln Avenue, Monett, Barry County, Missouri, 65708, United States

    #G

    MONETT, MO 657081641

    Phone: (417) 354-1500

    Fax: (417) 354-1505

    Type: Location

  • Springfield, Boulevard Émile Krieps, Oberkorn, Differdange, Canton Esch-sur-Alzette, 4543, Luxembourg

    SPRINGFIELD, MO 658084046

    Phone: (417) 269-5712

    Fax: (417) 269-7567

    Type: Mailing

  • 1000 E HIGHWAY 60

    MONETT, MO 657088258

    Phone: (417) 354-1500

    Fax: (417) 354-1585

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: ABBVIE INC. ($100).

Total Amount

$100

General + Research + Ownership

Payments

1

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$100
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: 2008-10-13

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
I20081013000107INurse PractitionerMOTBD

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 64180)

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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: 0345236667View full group profile
NameSpecialtyState
-MO
-MO
Interventional Cardiology, Cardiovascular Disease (Cardiology)MO
Family PracticeMO
Interventional Cardiology, Cardiovascular Disease (Cardiology)MO
-MO
Family PracticeMO
Hospitalist, Family Practice, Family PracticeNE
Orthopedic SurgeryMO
General SurgeryMO

Reviews

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Frequently asked questions

What is CAROL J. RUSSELL (FNP)'s NPI number?
CAROL J. RUSSELL (FNP)'s NPI is 1124274857 — the number used across U.S. healthcare to identify this provider.
Would CAROL J. RUSSELL (FNP) appear as active to a payer?
You can treat CAROL J. RUSSELL (FNP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is CAROL J. RUSSELL (FNP)?
CAROL J. RUSSELL (FNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is CAROL J. RUSSELL (FNP) associated with Kansas City?
Public fields place CAROL J. RUSSELL (FNP) around Kansas City, Missouri. Always confirm the exact site before visiting.
Does CAROL J. RUSSELL (FNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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