CONNIE RUSSELL NPI 1518509637

NPI Information

  • NPI: 1518509637
  • Provider Name: CONNIE RUSSELL
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1205 E BONNER WAY
    SALT LAKE CITY, UT
    ZIP 84117
  • Phone: (801) 598-8337

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NPI Details

Connie Russell is a family nurse practitioner in Salt Lake City, UT. Connie Russell NPI is 1518509637. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1205 E BONNER WAY
SALT LAKE CITY, UT
ZIP 84117-917
Phone: (801) 598-8337

The NPI 1518509637 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (HCPCS:G0181)
  • Established patient home visit, typically 1 hour (HCPCS:99350)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien (HCPCS:G0182)
  • Assessment of and care planning for impaired thought processing, typically 50 minutes (HCPCS:99483)
  • New patient custodial care facility, group care, or assisted living visit, typically 75 minutes (HCPCS:99328)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Removal of impacted ear wax (HCPCS:69210)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • New patient home visit, typically 75 minutes (HCPCS:99345)

The enumeration date for this NPI number is 10/9/2019 and was last updated on 10/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse366691-3102UTAHNo
2363LF0000XNurse PractitionerFamily366691-4405UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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