Jacqueline Marie Russell, PMHNP-BC - Medicare Nurse Practitioner in Enterprise, OR

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Jacqueline Marie Russell, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Enterprise, Oregon. Her current practice location is 606 Medical Pkwy, Enterprise, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 426-4524.

Jacqueline Marie Russell is licensed to practice in Oregon (license number 10013334) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720673577.

Contact Information

Jacqueline Marie Russell, PMHNP-BC
606 Medical Pkwy,
Enterprise, OR 97828-5140
(541) 426-4524
(541) 426-3035

Map and Direction




Provider's Profile

Full NameJacqueline Marie Russell
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location606 Medical Pkwy, Enterprise, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720673577
  • Provider Enumeration Date: 03/03/2021
  • Last Update Date: 03/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7113363391
  • Enrollment ID: I20240311001035

Medical Identifiers

Medical identifiers for Jacqueline Marie Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720673577NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 10013334 (Oregon)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacqueline Marie Russell allows following entities to bill medicare on her behalf.
Entity NameWallowa Valley Center For Wellness
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043249907
PECOS PAC ID: 0143228536
Enrollment ID: O20061120000068

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Marie Russell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Marie Russell, PMHNP-BC
79571 Leap Ln,
Wallowa, OR 97885-7107

Ph: (503) 899-3219		Jacqueline Marie Russell, PMHNP-BC
606 Medical Pkwy,
Enterprise, OR 97828-5140

Ph: (541) 426-4524

Reviews and Comments


Nurse Practitioner Nurses in Enterprise, OR

Jennifer Little,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 603 Medical Pkwy, Enterprise, OR 97828
Phone: 541-426-5460    Fax: 541-426-7901
Shannon Elizabeth Wiedeman, NP AND RN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 207 Sw 1st St, Enterprise, OR 97828
Phone: 541-426-0801    Fax: 541-426-0802
Anna L Hiebert, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 603 Medical Pkwy, Enterprise, OR 97828
Phone: 509-855-2438    
Ms. Katie L Weller, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 603 Medical Pkwy, Enterprise, OR 97828
Phone: 541-426-7900    Fax: 541-426-7901
Theresa A Russell, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 406 Ne 1st St, Enterprise, OR 97828
Phone: 541-426-4502    Fax: 541-426-6403
Sarah Georgine Peterson, DNP,ARNP,FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 107 North River Street, Suite B, Enterprise, OR 97828
Phone: 541-263-1225    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.