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

Mrs. Kathe Ann Russo

Individual provider Acute Care Nurse Practitioner · NPI 1629424965

Mrs. Kathe Ann Russo is a Nurse Practitioner in Saint Charles, Missouri. Qualified in 2009, 17 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
17
Licensed in
MO
In the registry since
2016

Practice location Address checks out

2929 Westborough Dr
Saint Charles, MO 63301-4546
Phone: (636) 485-8766
Show map & directions

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

Additional practice locations (1)

  • 12266 De Paul Dr Ste 305, Bridgeton, MO 63044-2514 — (314) 770-0991

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 2016009378 (MO)

Record details

NPI number1629424965
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 5, 2016
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020
Mailing addressPo Box 955534, Saint Louis, MO 63195-5534

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Charles