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

Mrs. Rebecca Russell

Individual provider Family Nurse Practitioner · NPI 1245669498

Mrs. Rebecca Russell is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2013, 13 years ago. Practices with University of North Carolina at Chapel Hill, a 2,079-clinician group and accepts Medicare assignment. Licensed in North Carolina and New York.

Years since qualifying
13
Licensed in
NC, NY
In the registry since
2013
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4210 Lake Boone Trl
Raleigh, NC 27607-6521
Phone: (919) 784-6600
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 5017539 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F-338111-1 (NY)

Record details

NPI number1245669498
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 8, 2013
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice University Of North Carolina At Chapel Hill — 2079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Raleigh