Kristen N Russell, APNP | |
2301 S Oneida St, Ashwaubenon, WI 54304-5230 | |
(920) 497-7783 | |
(920) 497-7789 |
Full Name | Kristen N Russell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 2301 S Oneida St, Ashwaubenon, Wisconsin |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306384268 | NPI | - | NPPES |
100064737 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209-028806 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 7518 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Quick Care Llc | 7719996792 | 18 |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Thedacare, Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Entity Name | Aurora Quick Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609820729 PECOS PAC ID: 7719996792 Enrollment ID: O20060419000702 |
Mailing Address | Practice Location Address |
---|---|
Kristen N Russell, APNP Po Box 735044, Chicago, IL 60673-5044 Ph: (920) 497-7783 | Kristen N Russell, APNP 2301 S Oneida St, Ashwaubenon, WI 54304-5230 Ph: (920) 497-7783 |
Kaylee Lynn Hawks, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2502 S Ashland Ave, Ashwaubenon, WI 54304 Phone: 920-496-4700 | |
Ms. Mary R Butler, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2301 S Oneida St, Ashwaubenon, WI 54304 Phone: 920-497-7783 Fax: 920-497-7789 | |
Karen A Sanchez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2301 S Oneida St, Ashwaubenon, WI 54304 Phone: 920-497-7783 Fax: 920-497-7789 | |
Nicole Anne Meighen, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2502 S Ashland Ave, Ashwaubenon, WI 54304 Phone: 920-496-4700 |