Doctor profile · Federal record
Dr. Nicole Russell, PA-C
Surgical Physician Assistant (CMS: Physician Assistant) · Roslyn, NY
- NPI 1629753975
- Accepts Medicare
- 3 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
100 Port Washington Blvd
Roslyn, NY 115761347
(516) 562-6006 - Mailing address
-
10 Lace Ln
Westbury, NY 115906315
Credentials & registration
- NPI registered
- June 2023 — 3 yrs on file
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629753975. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Cumberland Pharmaceuticals, Inc. | 1 | $16.13 |
By nature of payment
Frequently asked questions
What is Dr. Nicole Russell's medical specialty?
Dr. Nicole Russell practices Surgical Physician Assistant in Roslyn, NY.
Where does Dr. Nicole Russell practice?
Dr. Nicole Russell practices at 100 Port Washington Blvd, Roslyn, NY 115761347. Office phone: 5165626006.
What is Dr. Nicole Russell's NPI?
Dr. Nicole Russell's National Provider Identifier (NPI) is 1629753975, issued by NPPES.
Does Dr. Nicole Russell accept Medicare assignment?
Yes. Dr. Nicole Russell accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.