Stephanie M. Russell MD PSC
NPI 1164508198ActiveOrganization· Pediatrics· Prospect, KY
Pediatrics in Prospect, Kentucky, registered in NPPES in October 2006. The authorized official on file is Stephanie M. Russell, MD, Owner.
Overview
| NPI | 1164508198 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2006 |
| Last updated in NPPES | Mar 11, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | KY |
| Nurse Practitioner, Family | 363LF0000X | — | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pediatrics providers in Prospect
- 1679334643
- 1336298652
- 1396724522
- 1972582104
- 1437138666
- 1053515015