Keith Aniel Russworm Jr., NP
NPI 1497263222ActiveIndividual· Nurse Practitioner· Pine Bluff, AR
Nurse Practitioner (NP) with Ouachita County Medical Center and 2 other groups, practicing in Pine Bluff, Arkansas. 286 Medicare patients in 2024, $26,442 paid; nearly all of their 413 Part D prescriptions were generic (93%). Csl Behring reported $23.29 in payments in 2025, mostly food and beverage. Lists Jefferson Regional Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1497263222 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Jan 15, 2018 |
| Last updated in NPPES | Jan 25, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | A005484 | AR |
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) | Enrolled Practitioner - Nurse Practitioner (AR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 286 |
|---|---|
| Services billed | 314 across 8 procedure codes |
| Paid by Medicare | $26,442 |
Part D prescriptions in 2024
| Prescriptions (claims) | 413 · 434 30-day fills |
|---|---|
| Patients | 286 |
| Total drug cost | $8,538 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Ouachita County Medical CenterCamden, AR · 24 clinicians
- Wh Services Arkansas, LLCForrest City, AR · 22 clinicians
- Southeast Arkansas Emergency Physicians LLPPine Bluff, AR · 16 clinicians
Hospital affiliations
- Jefferson Regional Medical CenterPine Bluff, AR
- Ouachita County Medical CenterCamden, AR
Industry payments (Open Payments)
- 2025$23.29 · 1 payment from 1 company
- 2024$40.87 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Csl Behring | $23.29 | 1 |
What the 2025 payments were for
- Food and Beverage$23.29 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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