KRYSTAL RUSSELL (CNP) – Nurse Practitioner, NPI 1750770244

KRYSTAL RUSSELL (CNP) is a healthcare provider. based in Cincinnati, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. COA16948 (OH). The NPI Number for KRYSTAL RUSSELL (CNP) is 1750770244

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KRYSTAL RUSSELL (CNP)
NPI
1750770244
Phone
(440) 989-3801
Address
PO BOX 636643
Enumeration Date
21 January 2015
Last Update Date
9 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4403240400
Graduation Year
2014 (12 years ago)
PAC ID
4385960541
Group Practice PAC ID
4688070055
Professional Enrollment ID
I20150305001039
Address ID
OH440116401AV1813XRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for KRYSTAL RUSSELL (CNP)

  • PO BOX 636643

    CINCINNATI, OH 452636643

    Phone: (440) 989-3801

    Fax: (440) 960-0264

    Type: Mailing

  • 1607 STATE RD

    STE 6

    VERMILION, OH 440899142

    Phone: (440) 967-8713

    Fax: (440) 967-1938

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $480.

Total Amount is formed as General ($480) + Research ($0) + Ownership ($0) = $480.

Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($142).

Total Amount

$480

General + Research + Ownership

Payments

20

Total payment records

General Amount

$480

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-24

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: 2015-03-05

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
I20150305001039INurse PractitionerOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes17595$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4646$0
99213Established patient office or other outpatient visit, 20-29 minutes3024$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage1818$0
G0008Administration of influenza virus vaccine1818$0
View full utilization report →

Insurance plans in this area (ZIP 45263)

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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: 4688070055View full group profile
NameSpecialtyState
Family Practice, Sports MedicinePA
Physical Medicine And Rehabilitation, Pain ManagementOH
U R O L O G YOH
Nurse PractitionerOH
G A S T R O E N T E R O L O G YOH
N E U R O S U R G E R YNC
Pulmonary DiseaseOH
R H E U M A T O L O G YAL
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH

Reviews

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Frequently asked questions

How do I look up KRYSTAL RUSSELL (CNP) by NPI?
Use NPI 1750770244 when you need to reference KRYSTAL RUSSELL (CNP) in forms, claims, or directories.
Is KRYSTAL RUSSELL (CNP)'s NPI currently valid?
The extract we use shows KRYSTAL RUSSELL (CNP) as active.
What field does KRYSTAL RUSSELL (CNP) work in?
You can think of KRYSTAL RUSSELL (CNP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for KRYSTAL RUSSELL (CNP)?
We surface Cincinnati, Ohio for KRYSTAL RUSSELL (CNP) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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