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

Kathryn Russell, NP

Individual provider Neonatal Nurse Practitioner · NPI 1568940377

Kathryn Russell, NP is a Nurse Practitioner in Ann Arbor, Michigan. Graduated from University of Utah School of Medicine in 2018, 8 years ago. Works from 3 locations. Licensed in Idaho, Michigan and Utah.

Years since qualifying
8
Trained at
University of Utah School of Medicine
Licensed in
ID, MI, UT
In the registry since
2018
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone: (734) 936-4000
Show map & directions

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

Additional practice locations (2)

  • 190 E Bannock St, Boise, ID 83712-6241 — (208) 381-2088
  • 50 N Medical Dr, Salt Lake City, UT 84132 — (801) 581-2121

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704431063 (MI)
Neonatal Nurse Practitioner Taxonomy 363LN0000X · Licence 7294725-4405 (UT)
Critical Care Neonatal Nurse Practitioner Taxonomy 363LN0005X · Licence 7294725-4405 (UT)
Neonatal Nurse Practitioner Taxonomy 363LN0000X · Licence 73899 (ID)

Record details

NPI number1568940377
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 2, 2018
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Ann Arbor