Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel James Russell, NP

Individual provider Nurse Practitioner · NPI 1639933484

Daniel James Russell, NP is a Nurse Practitioner in Burlington, Wisconsin. Qualified in 2021, 5 years ago. Practices with Froedtert South Inc, a 156-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

677 E State St
Burlington, WI 53105-1639
Phone: (262) 763-9531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 13237-33 (WI)

Record details

NPI number1639933484
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 12, 2024
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024
Mailing address8610 45th Ave, Kenosha, WI 53142-2435

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Froedtert South Inc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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