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

Mr. Robert J Russell, PCNS

Individual provider Psychiatric/Mental Health Clinical Nurse Specialist · NPI 1003890518

Mr. Robert J Russell, PCNS is a Nurse Practitioner in Springfield, Massachusetts. Qualified in 1992, 34 years ago. Practices with Clinical and Support Options, Inc, a 103-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
34
Licensed in
MA
In the registry since
2005
Specialties on file
2

Practice location Address checks out

759 Chestnut St
Springfield, MA 01199-1001
Phone: (413) 794-3376
Fax: (413) 794-9803
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Clinical Nurse Specialist (primary) Taxonomy 364SP0808X · Licence 182877 (MA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 182877 (MA)

Record details

NPI number1003890518
Entity typeIndividual (Type 1)
GenderMale
Credentials PCNS
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESJune 24, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Clinical And Support Options, Inc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Springfield