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

Diane R Russell, FNP

Individual provider Family Medicine Physician · NPI 1457994089

Diane R Russell, FNP is a Nurse Practitioner in Salt Lake City, Utah. Qualified in 2019, 7 years ago. Practices with Mountainstar Cardiology St Marks LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1160 E 3900 S Ste 2000
Salt Lake City, UT 84124-1236
Phone: (801) 266-3418
Fax: (801) 266-4174
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5648785-4405 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 5648785-4405 (UT)

Record details

NPI number1457994089
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 27, 2019
Last updated in NPPESFebruary 9, 2022
Certification dateSeptember 23, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mountainstar Cardiology St Marks Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Salt Lake City