RONALD LLOYD RUSSETTE (APRN) – Family Nurse Practitioner, NPI 1215478367
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for RONALD LLOYD RUSSETTE (APRN)
2604 Saint Michael Dr Fl 1
Texarkana, TX 755032379
Phone: (903) 614-5480
Type: Location
3515, Richmond Road, Texarkana, Bowie County, Texas, 75503, United States
TEXARKANA, TX 755030711
Phone: (903) 791-9355
Fax: (903) 793-0496
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-05-16
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 |
|---|---|---|---|---|
| I20170516000351 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 142 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 56 | 54 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 54 | 48 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 44 | 11 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 36 | 31 | $0 |
Insurance plans in this area (ZIP 75503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Emergency Medicine | TX | |
| Emergency Medicine | NC | |
| Nurse Practitioner | TX | |
| Emergency Medicine, Family Practice, Hospitalist | AL | |
| Nurse Practitioner | TX | |
| Family Practice, Emergency Medicine | AR | |
| Emergency Medicine | MI | |
| Emergency Medicine | OK |
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