Nicole Russo, MSN, RN, CCRN, CPNP
NPI 1518859545 · Pediatric Nurse Practitioner · Stony Brook, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Russo, MSN, RN, CCRN, CPNP is a Pediatric Nurse Practitioner provider in Stony Brook, NY (NPI 1518859545).
Provider details
- NPI number
- 1518859545
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, RN, CCRN, CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- 776987 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-07-15
- Last updated
- 2025-12-21
- Certified
- 2025-12-21
Frequently asked questions
- What is Nicole Russo's NPI number?
- Nicole Russo's National Provider Identifier (NPI) is 1518859545, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Russo's specialty?
- Nicole Russo is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicole Russo located?
- Nicole Russo's practice location on file with NPPES is Hsc T11-020, Stony Brook, NY 11794-0001.
- What is Nicole Russo's phone number?
- The practice phone number listed in the NPPES registry for Nicole Russo is (516) 306-6989.
- Does Nicole Russo accept Medicare?
- Nicole Russo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Russo's NPI active?
- Yes — Nicole Russo's NPI (1518859545) is active in the NPPES registry as of the last update on 2025-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.