Doctor profile · Federal record
Dr. Shelly Russo, APRN
Gerontology Nurse Practitioner (CMS: Nurse Practitioner) · Adult Health Nurse Practitioner · Venice, FL
- NPI 1104549187
- Accepts Medicare
- MIPS 78.1 / 100 · 2023
- 4 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1215 Jacaranda Blvd
Venice, FL 342924520
(941) 451-8282
fax (877) 652-3059
Credentials & registration
- NPI registered
- September 2022 — 4 yrs on file
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363LG0600X — NUCC code
- State license (1)
- Florida #11021994
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104549187. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$126
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 1 | $103.99 | |
| Zoll Services LLC (A/K/A Zoll LifeCor Corp) | 1 | $21.54 |
By nature of payment
Frequently asked questions
What is Dr. Shelly Russo's medical specialty?
Dr. Shelly Russo practices Gerontology Nurse Practitioner in Venice, FL.
Where does Dr. Shelly Russo practice?
Dr. Shelly Russo practices at 1215 Jacaranda Blvd, Venice, FL 342924520. Office phone: 9414518282.
What is Dr. Shelly Russo's NPI?
Dr. Shelly Russo's National Provider Identifier (NPI) is 1104549187, issued by NPPES.
Does Dr. Shelly Russo accept Medicare assignment?
Yes. Dr. Shelly Russo accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.