HEATHER RUSSELL (M.D.) – Family Medicine Physician, NPI 1356346050

HEATHER RUSSELL (M.D.) is a healthcare provider. based in Nevada, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 2001015009 (MO). The NPI Number for HEATHER RUSSELL (M.D.) is 1356346050

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER RUSSELL (M.D.)
NPI
1356346050
Phone
(417) 667-6015
Address
900 S ADAMS ST
Enumeration Date
17 June 2005
Last Update Date
6 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
1254382963
Group Practice PAC ID
9830095280
Professional Enrollment ID
I20100526000080
Address ID
MO647723224NE800XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

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Provider Addresses for HEATHER RUSSELL (M.D.)

  • 900, South Adams Street, Nevada, Vernon County, Missouri, 64772, United States

    NEVADA, MO 647723210

    Phone: (417) 667-6015

    Fax: (417) 667-3007

    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 7 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($27).

Total Amount

$108

General + Research + Ownership

Payments

7

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

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: 2010-05-26

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
I20100526000080IFamily PracticeMOTBD

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 64772)

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Provider's Procedures

HEATHER RUSSELL (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMO83036Hemoglobin A1C level167102
FAMILY MEDICINEMO85610Blood test, clotting time23629

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: 9830095280View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YMO
General SurgeryMO
Pulmonary Disease, Critical Care (Intensivists)MO
-MO
Internal MedicineVA
-MO
N E U R O L O G YMO
Obstetrics/Gynecology, Family PracticeMO
Nurse PractitionerMO
-MO

Reviews

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Frequently asked questions

What is the 10-digit NPI for HEATHER RUSSELL (M.D.)?
HEATHER RUSSELL (M.D.) — NPI 1356346050 — is the standard way to identify this listing.
Can I rely on HEATHER RUSSELL (M.D.) being an active provider?
As of the registry snapshot, HEATHER RUSSELL (M.D.) is marked active.
What healthcare role does HEATHER RUSSELL (M.D.) hold?
Scheduling teams often label HEATHER RUSSELL (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does HEATHER RUSSELL (M.D.) serve?
HEATHER RUSSELL (M.D.)'s listing highlights Nevada, Missouri; more addresses can appear in NPPES.
Is the information about HEATHER RUSSELL (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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