JENNIFER RUSSO (RN, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1407200413
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,949 NURSE PRACTITIONER in NV
Provider Addresses for JENNIFER RUSSO (RN, PMHNP)
2480 E TOMPKINS AVE STE 100
LAS VEGAS, NV 891217394
Phone: (725) 724-2005
Fax: (877) 418-8013
Type: Location
83 Kind Ave
Henderson, NV 890023364
Phone: (702) 824-7691
Type: Location
83, Kind Avenue, Henderson, Clark County, Nevada, 89002, United States
HENDERSON, NV 890023364
Phone: (702) 824-7691
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 97 Open Payments records for all available years, with a total value of $2,659.
Total Amount is formed as General ($2,659) + Research ($0) + Ownership ($0) = $2,659.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($731).
Total Amount
$2,659
General + Research + Ownership
Payments
97
Total payment records
General Amount
$2,659
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $731 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $595 |
| ITI, Inc. | $321 |
| Corium, LLC | $224 |
| Otsuka America Pharmaceutical, Inc. | $186 |
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: 2022-07-18
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 |
|---|---|---|---|---|
| I20220718000728 | I | Nurse Practitioner | NV | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NV |
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