JOHANNA MERCEDEZ RUSSELL (APRN) – Adult Health Nurse Practitioner, NPI 1205308640
Adult Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JOHANNA MERCEDEZ RUSSELL (APRN)
12171 SW 268TH ST
HOMESTEAD, FL 330328001
Phone: (305) 278-0200
Type: Mailing
1918, Blanding Boulevard, Lake Shore, Jacksonville, Duval County, Florida, 32210, United States
JACKSONVILLE, FL 322103202
Phone: (904) 389-6954
Type: Location
121 Whitehall Dr
St Augustine, FL 320865266
Phone: (904) 825-4500
Fax: (904) 825-3672
Type: Location
425 N LEE ST STE 104
JACKSONVILLE, FL 322041128
Phone: (904) 427-1250
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $643.
Total Amount is formed as General ($643) + Research ($0) + Ownership ($0) = $643.
Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($218).
Total Amount
$643
General + Research + Ownership
Payments
42
Total payment records
General Amount
$643
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-07-24
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 |
|---|---|---|---|---|
| I20190724001251 | I | Nurse Practitioner | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 257 | 166 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 83 | 59 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 48 | 14 | $0 |
Insurance plans in this area (ZIP 33032)
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