DR. ELIZABETH JOYCE RUSSELL (M.D.) – Family Medicine Physician, NPI 1851301253

DR. ELIZABETH JOYCE RUSSELL (M.D.) is a healthcare provider. based in Green bay, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 37344 (WI). The NPI Number for DR. ELIZABETH JOYCE RUSSELL (M.D.) is 1851301253

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELIZABETH JOYCE RUSSELL (M.D.)
NPI
1851301253
Phone
(920) 433-4737
Address
1630 Commanche Ave
Enumeration Date
8 August 2006
Last Update Date
22 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9208351100
Graduation Year
1990 (36 years ago)
PAC ID
1254239734
Group Practice PAC ID
2163461781
Professional Enrollment ID
I20031222000360
Address ID
WI541532004OC820XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,047 FAMILY PRACTICE in WI

Provider Addresses for DR. ELIZABETH JOYCE RUSSELL (M.D.)

  • 1630 Commanche Ave

    Green Bay, WI 543136089

    Phone: (920) 433-4737

    Fax: (920) 433-4789

    Type: Location

  • Bellin Health Oconto Hospital and Clinic, 820, Arbutus Avenue, Oconto, Oconto County, Wisconsin, 54153, United States

    OCONTO, WI 541532004

    Phone: (920) 835-1100

    Fax: (920) 835-1099

    Type: Location

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    GREEN BAY, WI 543052487

    Phone: (920) 445-7210

    Fax: (920) 445-7289

    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: 2003-12-22

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
I20031222000360IFamily PracticeWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54313)

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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: 2163461781View full group profile
NameSpecialtyState
Nurse PractitionerWI
Nurse PractitionerWI
-WI
-WI
O B S T E T R I C S/ G Y N E C O L O G YWI
Nurse PractitionerWI
E N D O C R I N O L O G YWI
-WI
-WI
Nurse PractitionerWI

Reviews

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Frequently asked questions

Where can patients find DR. ELIZABETH JOYCE RUSSELL (M.D.)'s NPI?
You can confirm DR. ELIZABETH JOYCE RUSSELL (M.D.) with NPI 1851301253; it appears in the national provider directory.
Does this profile mean DR. ELIZABETH JOYCE RUSSELL (M.D.) is currently active?
Yes — DR. ELIZABETH JOYCE RUSSELL (M.D.) appears active in the national provider directory.
What field does DR. ELIZABETH JOYCE RUSSELL (M.D.) work in?
You can think of DR. ELIZABETH JOYCE RUSSELL (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ELIZABETH JOYCE RUSSELL (M.D.)?
The page summarizes Green Bay, Wisconsin for DR. ELIZABETH JOYCE RUSSELL (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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