Krystal Russell, CNP | |
1607 State Rd, Ste 6, Vermilion, OH 44089-9142 | |
(440) 967-8713 | |
(440) 967-1938 |
Full Name | Krystal Russell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 1607 State Rd, Vermilion, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750770244 | NPI | - | NPPES |
0119107 | Medicaid | OH | |
3025372 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | COA16948 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Regional Medical Center | Lorain, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Physicians Lorain Llc | 1355474172 | 31 |
Entity Name | Mercy Health-allen Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801825997 PECOS PAC ID: 5092802389 Enrollment ID: O20080731000059 |
Entity Name | Mercy Health Physicians Lorain Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023347192 PECOS PAC ID: 1355474172 Enrollment ID: O20100730000651 |
Entity Name | Mercy Health Physicians Lorain Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972126381 PECOS PAC ID: 4688070055 Enrollment ID: O20210909003432 |
Mailing Address | Practice Location Address |
---|---|
Krystal Russell, CNP Po Box 636643, Cincinnati, OH 45263-6643 Ph: (440) 989-3801 | Krystal Russell, CNP 1607 State Rd, Ste 6, Vermilion, OH 44089-9142 Ph: (440) 967-8713 |
Mrs. Melisa Ann Janosik, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1607 State Rd Ste 6, Vermilion, OH 44089 Phone: 440-967-8713 Fax: 440-967-5398 | |
Mrs. Cristen Adams Spoden, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1607 State Rd Ste 6, Vermilion, OH 44089 Phone: 440-967-8713 | |
Darlene Rae Martincak, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 713 Regina Dr, Vermilion, OH 44089 Phone: 440-670-0236 | |
Nicole E Leach, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1607 State Rd, 6, Vermilion, OH 44089 Phone: 440-967-8713 Fax: 440-967-1938 | |
Amber Diane Casbohm, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1607 State Rd, Vermilion, OH 44089 Phone: 440-967-8713 Fax: 440-967-1938 | |
Elizabeth Marie Thaxton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1607 State Rd Ste 6, Vermilion, OH 44089 Phone: 440-967-8713 |