SARAH ANN RUSSELL (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1417623828
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for SARAH ANN RUSSELL (AGACNP-BC)
851 E 5TH ST STE 208
WASHINGTON, MO 630903129
Phone: (636) 239-8097
Fax: (636) 390-7308
Type: Location
15945 Clayton Rd Ste 220
Ballwin, MO 630112491
Phone: (636) 239-8097
Fax: (636) 390-7308
Type: Location
1165A E Cherry St
Troy, MO 633791520
Phone: (636) 239-8097
Fax: (636) 390-7308
Type: Location
98 RUSSELL RD
LONEDELL, MO 630601521
Phone: (314) 807-2753
Type: Mailing
901 E 5TH ST
WASHINGTON, MO 630903127
Phone: (314) 807-2753
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 $25.
Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.
Last reported payment date: 2023-10-16 • Largest payer in this snapshot: Titan Surgical Group, Llc ($25).
Total Amount
$25
General + Research + Ownership
Payments
1
Total payment records
General Amount
$25
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Titan Surgical Group, Llc | $25 |
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: 2021-11-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211109001901 | I | Nurse Practitioner | MO | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 63090)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | IL | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery, Sports Medicine | MO | |
| Orthopedic Surgery | MO | |
| Internal Medicine, Hospitalist | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO |
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