Peni Jean Russell, - Medicare Nurse Practitioner in Nacogdoches, TX

  1. Home
  2. Nurse Practitioner
  3. TX
  4. Nacogdoches
Peni Jean Russell, is a medicare enrolled "Nurse Practitioner - Family" in Nacogdoches, Texas. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Integrative Emergency Services Physician Group-houston Pllc and her current practice location is 283 County Road 264, Nacogdoches, Texas. You can reach out to her office (for appointments etc.) via phone at (936) 564-8735.

Peni Jean Russell is licensed to practice in Texas (license number 589871) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871878835.

Contact Information

Peni Jean Russell,
283 County Road 264,
Nacogdoches, TX 75965-0530
(936) 564-8735
(936) 564-5033

Map and Direction




Provider's Profile

Full NamePeni Jean Russell
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location283 County Road 264, Nacogdoches, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Peni Jean Russell graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1871878835
  • Provider Enumeration Date: 10/20/2011
  • Last Update Date: 10/20/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2365608734
  • Enrollment ID: I20120730000696

Medical Identifiers

Medical identifiers for Peni Jean Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871878835NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 589871 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integrative Emergency Services Physician Group-houston Pllc7113258500126

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. Peni Jean Russell allows following entities to bill medicare on her behalf.
Entity NameTexas Em-i Medical Services, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457428849
PECOS PAC ID: 6507760543
Enrollment ID: O20031201000296
Entity NameAcs Primary Care Physicians Southwest Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538101019
PECOS PAC ID: 1850204363
Enrollment ID: O20041206000027
Entity NameTexas Emergency Staffing Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811942949
PECOS PAC ID: 0345297610
Enrollment ID: O20050407001290
Entity NameEss Of Nacogdoches Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780139956
PECOS PAC ID: 3375821630
Enrollment ID: O20161021000335
Entity NameIntegrative Emergency Services Physician Group-houston Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801458708
PECOS PAC ID: 7113258500
Enrollment ID: O20191016002208
Entity NameBonita Creek Emergency Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902555485
PECOS PAC ID: 0345623872
Enrollment ID: O20220817000640

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. Peni Jean 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
Peni Jean Russell,
283 County Road 264,
Nacogdoches, TX 75965

Ph: (936) 564-8735		Peni Jean Russell,
283 County Road 264,
Nacogdoches, TX 75965-0530

Ph: (936) 564-8735

Reviews and Comments


Nurse Practitioner Nurses in Nacogdoches, TX

Kristin Nicole Robinson, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1106 South St, Nacogdoches, TX 75964
Phone: 936-564-8611    Fax: 936-462-8489
Mrs. Kace L Calan, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3618 N University Dr, Nacogdoches, TX 75965
Phone: 936-205-9922    Fax: 936-205-9923
Mr. Carl Austin Willeford Jr., FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1018 N Mound St Ste 203, Nacogdoches, TX 75961
Phone: 936-569-4150    Fax: 936-569-4155
Jena Lyn Rhodes, FNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 2702 N University Dr, Nacogdoches, TX 75965
Phone: 936-585-4130    Fax: 936-585-4134
Tiffany Batten, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4920 Ne Stallings Dr, Nacogdoches, TX 75965
Phone: 936-568-3143    
Mr. James Lucas Wagoner, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1023 N Mound St Ste E, Nacogdoches, TX 75961
Phone: 936-305-4130    Fax: 936-305-4127
Carla Ann Hairston, RN,FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1002 N Mound St, Nacogdoches, TX 75961
Phone: 936-560-3800    Fax: 936-560-0102

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.