TAYLOR RENEE RUSSELL – Family Nurse Practitioner, NPI 1881271864

TAYLOR RENEE RUSSELL is a healthcare provider. based in Wagoner, Oklahoma. specializing in NURSE PRACTITIONER. They hold a License No. 201054 (OK). The NPI Number for TAYLOR RENEE RUSSELL is 1881271864

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR RENEE RUSSELL
NPI
1881271864
Phone
(918) 485-1877
Address
1202 W CHEROKEE ST STE E
Enumeration Date
26 March 2021
Last Update Date
3 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9184855514
Graduation Year
2020 (6 years ago)
PAC ID
8921417189
Group Practice PAC ID
0042217531
Professional Enrollment ID
I20210429002275
Address ID
OK744674624WA1200XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for TAYLOR RENEE RUSSELL

  • 1202 W CHEROKEE ST STE E

    WAGONER, OK 744674629

    Phone: (918) 485-1877

    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 16 Open Payments records for all available years, with a total value of $576.

Total Amount is formed as General ($576) + Research ($0) + Ownership ($0) = $576.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($171).

Total Amount

$576

General + Research + Ownership

Payments

16

Total payment records

General Amount

$576

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-04-29

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
I20210429002275INurse PractitionerOKTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes16064$0
36415Insertion of needle into vein for collection of blood sample8545$0
81003Automated urinalysis test4834$0
96372Injection of drug or substance under skin or into muscle3116$0
View full utilization report →

Insurance plans in this area (ZIP 74467)

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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: 0042217531View full group profile
NameSpecialtyState
General Surgery, Thoracic Surgery, Vascular SurgeryMO
Physical Therapist In Private PracticeOK
G A S T R O E N T E R O L O G YOK
Family Practice, Emergency MedicineOK
Family PracticeOK
Infectious DiseaseOK
Otolaryngology, Allergy/ImmunologyOK
Orthopedic SurgeryAR
Family Practice, Emergency MedicineOK
-OK

Reviews

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Frequently asked questions

What number should I use to identify TAYLOR RENEE RUSSELL for billing?
Administrative and clinical systems typically use NPI 1881271864 for TAYLOR RENEE RUSSELL.
Quick check: is TAYLOR RENEE RUSSELL active?
Public NPPES data shows TAYLOR RENEE RUSSELL with an active NPI status right now.
What type of care does TAYLOR RENEE RUSSELL provide?
TAYLOR RENEE RUSSELL's profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit TAYLOR RENEE RUSSELL in Wagoner, Oklahoma?
For routing, start with Wagoner, Oklahoma for TAYLOR RENEE RUSSELL, then verify phone and hours locally.
Who maintains TAYLOR RENEE RUSSELL's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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