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

Elizabeth Louise Russ, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1730995432

Elizabeth Louise Russ, AGACNP is a Nurse Practitioner in Petoskey, Michigan. Qualified in 2023, 3 years ago. Practices with McLaren Hospital Group, a 358-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2024

Practice location Address checks out

416 Connable Ave
Petoskey, MI 49770-2212
Phone: (800) 248-6777
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704358971 (MI)

Record details

NPI number1730995432
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedDecember 6, 2024
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice McLaren Hospital Group — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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