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

Dr. Stephanie Jane Russ, DO

Individual provider Family Medicine Physician · NPI 1629239355

Dr. Stephanie Jane Russ, DO is a Family Practice in Pendleton, Indiana. Qualified in 2008, 18 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
18
Licensed in
IN
In the registry since
2008
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

200 Enterprise Dr Ste A
Pendleton, IN 46064-9038
Phone: (765) 298-4567
Show map & directions

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

Additional practice locations (1)

  • 1251 S Huntzinger Blvd, Pendleton, IN 46064 — (765) 298-4567

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11014474A (IN)

Record details

NPI number1629239355
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 25, 2008
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address6626 E 75th St Ste 500, Indianapolis, IN 46250-2890

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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