NPI

Jessica Marie Russell

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
CADAC II
Type
Individual
Enumeration date
2023-10-09
Last updated
2023-10-09

Specialties

Licenses

License IN
C2-51276

Location

Practice location
1972 Knox Dr
City
Clayton IN
Postal code
46118-9485
Phone
(317) 654-8315

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

Check this NPI on the exclusion page

OIG exclusion search

Nearby

Other NPIs in Clayton, IN. 18 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

Update a record in NPPES

Run it in Rivvi

Is this you?

Check your listing for a stale address, wrong specialty or deactivation. Free.

Check my listing

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Try it on your own data today.

Free to start. Most teams are using it the same day.

Get started for freeSee pricing