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

Mrs. Melody Ann Russell, ACAGNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1114699923

Mrs. Melody Ann Russell, ACAGNP-BC is a Nurse Practitioner in Springfield, Missouri. Qualified in 2019, 7 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2021
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Practice location Address checks out

222 E Primrose St Ste E
Springfield, MO 65807-5233
Phone: (417) 553-1080
Fax: (888) 472-5145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 2020040257 (MO)

Record details

NPI number1114699923
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACAGNP-BC
Sole proprietorNo
NPI enumeratedSeptember 30, 2021
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mercy Clinic Springfield Communities — 1126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Springfield